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Nebraska rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,270.09 / $2,270.09 / $2,270.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,270.09 / $2,270.09 / $2,676.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.65 / $3,441.52 / $3,476.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $3,915.68 / $3,915.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.82 / $3,915.68 / $6,038.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,920.58 / $3,859.15 / $16,444.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.28 / $2,066.78 / $2,959.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,904.23 / $3,915.68 / $4,933.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,255.82 / $4,627.62 / $8,066.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.28 / $2,066.78 / $2,959.84