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Nebraska rates for HCPCS L5647

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

Facilitymedian $1,096 · 10th–90th $631–$5,0120%10%10th90th$1,096Professionalmedian $813 · 10th–90th $427–$3,3880%10%10th90th$813$500.0$1.0K$2.0K$5.0K

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
$812.83 / $812.83 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $812.83 / $5,495.41
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,380.38 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,380.38 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $660.69 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,412.54 / $3,388.44
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,162.28 / $3,388.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $724.44 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $630.96 / $954.99