go back

Nebraska rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.49 / $372.49 / $372.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.49 / $372.49 / $439.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.38 / $564.72 / $570.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $642.52 / $642.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.01 / $750.55 / $1,128.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.24 / $639.35 / $3,083.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.38 / $373.12 / $485.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.64 / $642.52 / $887.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.76 / $759.34 / $1,323.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.38 / $355.35 / $449.05