go back

Nebraska rates for HCPCS L5964

Addition Endoskeletal System Above Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.45 / $880.45 / $880.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.45 / $880.45 / $1,038.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.44 / $1,334.79 / $1,348.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $1,518.69 / $1,518.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.38 / $1,518.69 / $2,341.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.69 / $1,496.77 / $5,917.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.64 / $747.70 / $1,380.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.24 / $1,518.69 / $1,913.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.80 / $1,774.04 / $3,128.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.84 / $688.78 / $864.14