go back

Nebraska rates for HCPCS L5060

Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot (SACH)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.04 / $2,333.04 / $2,333.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.04 / $2,333.04 / $2,750.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,215.42 / $3,536.96 / $3,572.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,637.76 / $4,024.27 / $4,024.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,637.76 / $4,024.27 / $6,205.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.90 / $4,004.47 / $17,548.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.86 / $2,205.14 / $3,041.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,012.51 / $4,024.27 / $5,070.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,643.69 / $4,823.13 / $8,290.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.86 / $1,825.15 / $2,863.37