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Nebraska rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.32 / $464.32 / $464.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.32 / $464.32 / $547.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.94 / $703.92 / $711.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.30 / $800.91 / $800.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.30 / $800.91 / $1,235.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.78 / $796.97 / $3,612.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.20 / $450.39 / $605.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.57 / $800.91 / $1,030.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.00 / $946.53 / $1,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.20 / $363.24 / $521.61