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Nebraska rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Facilitymedian $66 · 10th–90th $38–$3020%10%20%10th90th$66Professionalmedian $40 · 10th–90th $23–$1740%10%20%10th90th$40$20.0$50.0$100.0$200.0$500.0

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
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $39.81 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $61.66 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $70.79 / $109.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $302.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $38.02 / $64.57
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $173.78
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $158.49 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $31.62 / $50.12