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Nebraska rates for HCPCS L6450

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,665.57 / $2,665.57 / $2,665.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,665.57 / $2,665.57 / $3,142.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,673.71 / $4,041.09 / $4,081.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $4,597.87 / $4,597.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,717.61 / $4,597.87 / $7,090.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.96 / $4,531.47 / $19,464.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.39 / $2,461.48 / $3,475.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,584.42 / $4,597.87 / $5,793.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,084.00 / $5,433.84 / $9,472.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.39 / $2,085.30 / $2,844.80