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Nebraska rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.21 / $818.21 / $818.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.21 / $818.21 / $964.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.66 / $1,240.43 / $1,252.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $1,411.33 / $1,411.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.44 / $1,411.33 / $2,176.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.53 / $1,402.36 / $6,077.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.48 / $769.67 / $1,066.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.20 / $1,411.33 / $1,778.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.50 / $1,667.94 / $2,907.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.48 / $762.81 / $889.53