go back

Nebraska rates for HCPCS L5925

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.35 / $340.35 / $340.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.35 / $340.35 / $401.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.06 / $515.98 / $521.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $587.07 / $587.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.88 / $584.53 / $905.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.37 / $578.60 / $2,277.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.19 / $268.26 / $443.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.35 / $587.07 / $739.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.78 / $685.77 / $1,169.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.20 / $266.25 / $330.12