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Nebraska rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $21 · 10th–90th $9–$950%10%20%10th90th$21Professionalmedian $12 · 10th–90th $7–$540%10%20%10th90th$12$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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $12.02 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $23.99 / $35.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $21.88 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.00 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $53.70
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.00 / $15.49