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Nebraska rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.43 / $1,141.43 / $1,141.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.43 / $1,141.43 / $1,345.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.11 / $1,730.43 / $1,747.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $1,968.85 / $1,968.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.00 / $1,968.85 / $3,036.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.74 / $1,940.43 / $7,595.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.45 / $952.76 / $1,488.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.09 / $1,968.85 / $2,480.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.51 / $2,299.89 / $4,056.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.38 / $892.94 / $1,107.19