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Nebraska rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.40 / $2,400.40 / $2,400.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.40 / $2,400.40 / $2,830.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,308.26 / $3,639.07 / $3,675.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $4,140.47 / $4,140.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,027.66 / $4,140.47 / $6,384.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,885.80 / $4,107.93 / $17,754.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.08 / $2,254.58 / $3,473.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,128.35 / $4,140.47 / $5,216.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,442.71 / $4,893.28 / $8,530.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.08 / $2,016.05 / $2,605.67