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Nebraska rates for HCPCS L5728

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.52 / $1,938.52 / $1,938.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.52 / $1,938.52 / $2,285.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,671.69 / $2,938.86 / $2,968.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $3,343.78 / $3,343.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,252.67 / $3,373.13 / $5,156.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.94 / $3,327.32 / $15,093.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.33 / $1,882.80 / $2,527.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,333.99 / $3,343.78 / $4,338.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.00 / $3,951.74 / $6,888.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.33 / $1,698.77 / $2,195.59