go back

Nebraska rates for HCPCS L5910

Addition Endoskeletal System Below Knee Alignable System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.20 / $277.20 / $277.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.20 / $277.20 / $326.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.02 / $326.02 / $326.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.06 / $420.25 / $424.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.20 / $478.17 / $478.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $478.17 / $737.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.49 / $475.81 / $2,291.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.50 / $289.14 / $424.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.77 / $478.17 / $660.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.00 / $565.11 / $985.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.50 / $216.86 / $334.19