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Nebraska rates for HCPCS L5724

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.28 / $1,401.28 / $1,401.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.28 / $1,401.28 / $1,652.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.26 / $2,124.38 / $2,145.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.13 / $2,417.07 / $2,417.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,351.21 / $2,417.63 / $3,727.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.88 / $2,382.17 / $9,687.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.58 / $1,205.08 / $1,827.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,410.00 / $2,417.07 / $3,045.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.76 / $2,823.47 / $4,979.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.88 / $1,194.33 / $1,403.61