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Nebraska rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$204

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $355 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$204 to $209
FacilityA hospital or hospital-owned outpatient department$355$263 to $398

How much rates vary

Facilitymedian $355 · 10th to 90th $219 to $933Professionalmedian $204 · 10th to 90th $174 to $263
$200$500$1K$2Kfacility $355professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$218.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$467.74
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$933.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$870.96
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$213.80
Typical High
$275.42

Where Nebraska sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 43rd of 51

$204

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.