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Nebraska rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,386.13 / $18,386.13 / $18,386.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,386.13 / $18,386.13 / $21,679.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,339.91 / $27,873.91 / $28,155.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $31,714.32 / $31,714.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,200.25 / $31,714.32 / $48,904.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,519.19 / $31,256.42 / $134,932.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,976.79 / $17,245.77 / $28,300.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,621.54 / $31,714.32 / $39,958.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,974.18 / $37,480.56 / $65,336.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,383.10 / $29,383.10 / $29,383.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,976.79 / $14,383.57 / $19,931.41