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Nebraska rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.92 / $2,575.92 / $2,575.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.92 / $2,575.92 / $3,037.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,550.15 / $3,905.15 / $3,944.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $4,443.21 / $4,443.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,322.16 / $4,710.75 / $6,851.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.78 / $4,379.06 / $19,065.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.86 / $2,430.05 / $3,358.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,430.21 / $4,443.21 / $5,598.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,694.45 / $5,251.06 / $9,153.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,537.86 / $2,015.15 / $2,808.47