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Nebraska rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $69 · 10th–90th $41–$3310%20%10th90th$69Professionalmedian $42 · 10th–90th $24–$1780%10%10th90th$42$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
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $41.69 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $81.28 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $74.13 / $331.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $40.74 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $177.83
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $165.96 / $177.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $51.29