go back

Nebraska rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,133.41 / $2,133.41 / $2,133.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,133.41 / $2,133.41 / $2,515.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,940.28 / $3,234.30 / $3,266.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $3,679.93 / $3,679.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,476.09 / $3,679.93 / $5,674.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.69 / $3,661.82 / $16,803.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.68 / $2,094.94 / $2,781.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.16 / $3,679.93 / $4,827.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,331.90 / $4,349.01 / $7,581.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.68 / $1,890.15 / $2,442.96