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Nebraska rates for HCPCS L6320

Shoulder disarticulation, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,744.06 / $1,744.06 / $1,744.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.06 / $1,744.06 / $2,056.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,403.67 / $2,644.04 / $2,670.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.27 / $3,008.32 / $3,008.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,637.27 / $3,008.32 / $4,638.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.17 / $2,964.90 / $10,648.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,364.38 / $2,273.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,999.53 / $3,008.32 / $3,790.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.32 / $3,514.14 / $5,946.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.91 / $1,366.91 / $1,366.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.17 / $1,364.38 / $1,691.72