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Nebraska rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,832.81 / $2,832.81 / $2,832.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.81 / $2,832.81 / $3,340.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,904.21 / $4,294.63 / $4,338.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $4,886.33 / $4,886.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,141.52 / $4,886.33 / $7,534.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.05 / $4,844.28 / $18,963.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.23 / $2,422.78 / $3,693.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,872.04 / $4,886.33 / $6,156.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,001.94 / $5,707.91 / $10,066.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.31 / $2,401.17 / $2,800.07