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Nebraska rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,149.68 / $3,149.68 / $3,149.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,149.68 / $3,149.68 / $3,713.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,340.92 / $4,775.01 / $4,823.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $5,432.90 / $5,432.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,364.97 / $5,432.90 / $8,377.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,358.64 / $5,196.97 / $21,225.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.40 / $2,706.04 / $4,106.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,416.99 / $5,432.90 / $6,845.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,449.56 / $6,346.36 / $11,192.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.48 / $2,464.01 / $3,127.45