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Nebraska rates for HCPCS L5920

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.13 / $406.13 / $406.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.13 / $406.13 / $478.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.73 / $615.70 / $621.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $700.52 / $700.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.94 / $700.52 / $1,080.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.52 / $697.08 / $3,385.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.46 / $419.84 / $622.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.49 / $700.52 / $967.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.00 / $827.89 / $1,443.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.46 / $378.79 / $489.58