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Nebraska rates for HCPCS L5975

All lower extremity prostheses, combination single axis ankle and flexible keel foot

Facilitymedian $575 · 10th–90th $331–$2,6300%20%10th90th$575Professionalmedian $355 · 10th–90th $200–$1,5140%10%20%10th90th$355$200.0$500.0$1.0K$2.0K

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
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $354.81 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $537.03 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $645.65 / $954.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $616.60 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $331.13 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $1,513.56
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,380.38 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $380.19 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $275.42 / $436.52