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Nebraska rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,467.23 / $13,467.23 / $13,467.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,467.23 / $13,467.23 / $15,879.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,560.66 / $20,416.73 / $20,622.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $23,229.70 / $23,229.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,752.32 / $23,229.70 / $35,820.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,764.55 / $22,894.29 / $98,186.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,040.14 / $12,518.55 / $17,559.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,161.74 / $23,229.70 / $29,268.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,025.24 / $27,453.28 / $47,856.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,040.14 / $10,535.49 / $14,468.03