go back

Nebraska rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.21 / $509.21 / $509.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.21 / $509.21 / $600.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.87 / $598.87 / $598.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.79 / $771.98 / $779.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $878.34 / $878.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.03 / $872.34 / $1,354.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.05 / $865.66 / $3,201.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.01 / $451.99 / $779.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.77 / $878.34 / $1,106.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.54 / $1,026.03 / $1,745.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.81 / $398.36 / $493.93