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Nebraska rates for HCPCS L5848

Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.79 / $823.79 / $823.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.79 / $823.79 / $971.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.33 / $1,248.88 / $1,261.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.63 / $1,420.96 / $1,420.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.63 / $1,420.96 / $2,191.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.38 / $1,400.44 / $6,045.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.81 / $771.39 / $1,267.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.79 / $1,420.96 / $1,790.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.00 / $1,679.31 / $2,927.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.81 / $684.03 / $891.52