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Nebraska rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.45 / $1,589.45 / $1,589.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.45 / $1,589.45 / $1,874.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.59 / $2,409.65 / $2,434.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $2,741.66 / $2,741.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.54 / $2,741.66 / $4,227.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.72 / $2,728.17 / $12,123.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.93 / $1,514.96 / $2,072.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,733.63 / $2,741.66 / $3,459.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,435.00 / $3,240.15 / $5,648.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.93 / $1,501.45 / $1,750.88