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Nebraska rates for HCPCS L5718

Addition, exoskeletal knee-shin system, polycentric, friction swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.69 / $929.69 / $929.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.69 / $929.69 / $1,096.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.30 / $1,409.44 / $1,423.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $1,603.64 / $1,603.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.79 / $1,603.64 / $2,472.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.39 / $1,580.47 / $5,694.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.48 / $727.31 / $1,212.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,598.94 / $1,603.64 / $2,020.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.79 / $1,873.26 / $3,170.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.29 / $727.31 / $931.24