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Nebraska rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,845.12 / $2,845.12 / $2,845.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,845.12 / $2,845.12 / $3,354.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,921.17 / $4,313.29 / $4,356.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $4,907.56 / $4,907.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.67 / $4,907.56 / $7,567.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,246.23 / $4,854.21 / $20,912.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.58 / $2,664.18 / $3,709.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,893.21 / $4,907.56 / $6,183.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,380.00 / $5,799.85 / $10,110.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.58 / $2,640.42 / $3,079.07