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Nebraska rates for HCPCS A5114

Leg strap; foam or fabric, replacement only, per set

Facilitymedian $12 · 10th–90th $5$790%10%10th90th$12Professionalmedian $10 · 10th–90th $3$280%10%10th90th$10$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $10.00 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.59 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $14.13 / $21.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $16.98 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.17 / $12.02
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $33.88
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $14.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $30.90 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $5.75 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.03 / $9.77