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Nebraska rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,392.40 / $2,392.40 / $2,392.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.40 / $2,392.40 / $2,820.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,297.23 / $3,626.94 / $3,663.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $4,126.67 / $4,126.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.88 / $4,126.67 / $6,363.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,888.80 / $4,106.35 / $17,719.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.30 / $2,254.30 / $3,119.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,114.60 / $4,126.67 / $5,199.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,431.25 / $4,876.97 / $8,501.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.30 / $2,234.19 / $2,605.35