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Nebraska rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Facilitymedian $29,512 · 10th–90th $16,982$134,8960%10%20%10th90th$29,512Professionalmedian $18,197 · 10th–90th $10,471$77,6250%10%20%10th90th$18,197$10.0K$20.0K$50.0K$100.0K

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
$18,197.01 / $18,197.01 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $18,197.01 / $123,026.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25,118.86 / $28,183.83 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $32,359.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,218.10 / $33,884.42 / $50,118.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $31,622.78 / $134,896.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $17,378.01 / $28,840.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31,622.78 / $31,622.78 / $77,624.71
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $32,359.37 / $32,359.37
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39,810.72 / $72,443.60 / $77,624.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $19,952.62 / $30,199.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,471.29 / $14,454.40 / $22,387.21