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Nebraska rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Facilitymedian $85 · 10th–90th $48–$3890%10%20%10th90th$85Professionalmedian $54 · 10th–90th $30–$2290%10%20%10th90th$54$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
$53.70 / $53.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $53.70 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $93.33 / $144.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $389.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $229.09
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $95.50
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $213.80 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $56.23 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $42.66 / $66.07