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Nebraska rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.79 / $364.79 / $364.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.79 / $364.79 / $430.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.76 / $553.03 / $558.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $629.24 / $629.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.42 / $629.24 / $970.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.58 / $620.14 / $2,588.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.79 / $333.94 / $475.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.40 / $629.24 / $792.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.00 / $743.65 / $1,296.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.79 / $330.96 / $385.95