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Nebraska rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $30 · 10th–90th $14–$1580%10%10th90th$30Professionalmedian $16 · 10th–90th $12–$440%10%20%10th90th$16$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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $43.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $35.48 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $30.90 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $43.65 / $72.44
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $66.07 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $17.78 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $22.39