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Nebraska rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.78 / $2,171.78 / $2,171.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.78 / $2,171.78 / $2,560.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,993.17 / $3,292.48 / $3,325.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.15 / $3,746.13 / $3,746.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,784.15 / $3,746.13 / $5,776.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.41 / $3,692.03 / $15,230.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.58 / $1,899.30 / $2,831.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,735.16 / $3,746.13 / $4,719.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.00 / $4,375.97 / $7,717.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.46 / $1,882.35 / $2,195.07