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Nebraska rates for HCPCS L5726

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.61 / $1,551.61 / $1,551.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.61 / $1,551.61 / $1,829.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.44 / $2,352.29 / $2,376.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $2,676.39 / $2,676.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.19 / $2,676.39 / $4,127.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.97 / $2,637.74 / $11,048.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.34 / $1,388.84 / $2,023.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,668.55 / $2,676.39 / $3,372.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.00 / $3,163.00 / $5,513.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.34 / $1,376.45 / $1,605.12