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Nebraska rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Facilitymedian $708 · 10th–90th $407–$3,4670%20%10th90th$708Professionalmedian $427 · 10th–90th $240–$1,7780%20%10th90th$427$200.0$500.0$1.0K$2.0K

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
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $416.87 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $630.96 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $870.96 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $741.31 / $3,467.37
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $407.38 / $676.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $1,778.28
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,659.59 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $489.78 / $758.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $331.13 / $524.81