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Nebraska rates for HCPCS L6500

Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,877.86 / $2,877.86 / $2,877.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,877.86 / $2,877.86 / $3,393.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,966.29 / $4,362.92 / $4,406.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $4,964.04 / $4,964.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,970.85 / $4,964.04 / $7,654.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.92 / $4,892.35 / $19,143.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.12 / $2,463.50 / $3,752.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,949.51 / $4,964.04 / $6,254.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,065.59 / $5,798.67 / $10,226.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.63 / $2,251.37 / $3,532.02