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Nebraska rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,459.21 / $2,459.21 / $2,459.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,459.21 / $2,459.21 / $2,899.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,389.30 / $3,728.23 / $3,765.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,297.39 / $4,241.89 / $4,241.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,297.39 / $4,241.89 / $7,386.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.29 / $4,221.03 / $19,929.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.18 / $2,463.32 / $3,206.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,229.50 / $4,241.89 / $5,807.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,527.07 / $5,013.14 / $8,739.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.18 / $2,273.96 / $2,939.00