go back

Nebraska rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.48 / $565.48 / $565.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.48 / $565.48 / $666.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.35 / $857.27 / $865.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $975.39 / $975.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.20 / $975.39 / $1,504.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.91 / $970.60 / $4,473.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.60 / $566.42 / $737.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.54 / $975.39 / $1,311.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.00 / $1,152.74 / $2,009.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.60 / $442.38 / $663.45