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Nebraska rates for HCPCS L5961

Addition Endoskeletal System Polycentric Hip Joint Pneumatic Or Hydraulic Control With Or Without Flexion And/Or Extension Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.03 / $3,736.03 / $3,736.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,736.03 / $3,736.03 / $4,405.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,149.02 / $5,663.93 / $5,721.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $6,444.30 / $6,444.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,728.42 / $6,444.30 / $9,937.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.03 / $6,412.58 / $26,807.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,230.46 / $3,470.57 / $4,585.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,425.44 / $6,444.30 / $8,119.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,896.19 / $7,723.54 / $13,276.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.94 / $2,922.71 / $3,948.74