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Nebraska rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.91 / $97.91 / $97.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.91 / $97.91 / $115.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.94 / $148.44 / $149.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $168.89 / $168.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.32 / $168.89 / $260.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.12 / $168.06 / $799.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.46 / $101.22 / $149.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.40 / $168.89 / $233.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $199.60 / $347.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.46 / $76.59 / $120.17