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Nebraska rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.42 / $1,303.42 / $1,303.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.42 / $1,303.42 / $1,536.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.39 / $1,976.03 / $1,995.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.82 / $2,248.28 / $2,248.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.82 / $2,248.28 / $3,466.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.34 / $2,237.21 / $10,228.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.16 / $1,305.59 / $1,699.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.71 / $2,248.28 / $3,104.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.97 / $2,657.06 / $4,631.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.93 / $769.93 / $1,347.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.16 / $1,215.73 / $1,571.29