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Nebraska rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.44 / $1,168.44 / $1,168.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.44 / $1,168.44 / $1,377.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.34 / $1,771.39 / $1,789.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $2,015.44 / $2,015.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.33 / $2,015.44 / $3,107.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.95 / $1,986.35 / $7,109.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.56 / $914.08 / $1,523.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.54 / $2,015.44 / $2,539.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.52 / $2,354.32 / $3,984.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $914.08 / $1,170.38