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Nebraska rates for HCPCS L5816

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $676.08 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $977.24 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $1,949.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,148.15 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $630.96 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $2,570.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,570.40 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $794.33