go back

Nebraska rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.94 / $145.94 / $145.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.94 / $145.94 / $172.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.13 / $221.25 / $223.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $251.74 / $251.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.58 / $251.74 / $388.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.57 / $250.50 / $1,083.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.13 / $138.69 / $190.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $251.74 / $317.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.33 / $297.51 / $518.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.13 / $114.18 / $160.29