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Nebraska rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Facilitymedian $186 · 10th–90th $105–$8320%10%20%10th90th$186Professionalmedian $120 · 10th–90th $66–$5130%20%10th90th$120$100.0$200.0$500.0$1.0K

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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $120.23 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $208.93 / $323.59
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $208.93 / $831.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $107.15 / $190.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $512.86
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $213.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $478.63 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $120.23 / $186.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $95.50 / $151.36