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Nebraska rates for HCPCS L6050

Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.58 / $1,743.58 / $1,743.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.58 / $1,743.58 / $2,055.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.02 / $2,643.32 / $2,670.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $3,007.51 / $3,007.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,925.58 / $3,478.88 / $4,637.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,503.43 / $2,992.71 / $12,107.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.94 / $1,516.62 / $2,273.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,998.72 / $3,007.51 / $3,789.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,468.00 / $3,513.19 / $6,195.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.06 / $1,364.02 / $1,752.80