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Nebraska rates for HCPCS L5845

Addition, endoskeletal knee-shin system, stance flexion feature, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,373.10 / $1,373.10 / $1,373.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.10 / $1,373.10 / $1,619.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,892.41 / $2,081.65 / $2,102.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.83 / $2,368.44 / $2,368.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.83 / $2,368.44 / $3,652.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.06 / $2,342.71 / $10,094.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.76 / $1,285.78 / $2,113.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,361.54 / $2,368.44 / $2,984.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,114.00 / $2,799.08 / $4,879.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.55 / $1,055.55 / $1,055.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.76 / $1,149.75 / $1,685.20