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Nebraska rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Facilitymedian $355 · 10th–90th $209–$1,6980%20%10th90th$355Professionalmedian $214 · 10th–90th $117–$8710%20%10th90th$214$100.0$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
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $208.93 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $380.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $371.54 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $199.53 / $338.84
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $870.96
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $812.83 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $245.47 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $162.18 / $257.04