go back

Nebraska rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.78 / $40.78 / $40.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.78 / $40.78 / $48.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.20 / $61.82 / $62.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $70.33 / $70.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $70.33 / $108.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.04 / $69.98 / $305.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.34 / $38.42 / $53.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.13 / $70.33 / $88.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $83.12 / $144.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.34 / $34.36 / $44.41