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Nebraska rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Facilitymedian $55 · 10th–90th $32–$2510%10%20%10th90th$55Professionalmedian $34 · 10th–90th $19–$1450%10%10th90th$34$20.0$50.0$100.0$200.0

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
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $33.88 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $51.29 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $58.88 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $58.88 / $251.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $31.62 / $53.70
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $144.54
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $134.90 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $36.31 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.92 / $41.69