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Nebraska rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.91 / $555.91 / $555.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.91 / $555.91 / $655.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.16 / $842.78 / $851.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $958.90 / $958.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.78 / $998.63 / $1,478.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.74 / $945.06 / $3,942.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.89 / $512.14 / $724.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.10 / $958.90 / $1,208.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.31 / $1,133.25 / $1,975.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.89 / $434.90 / $682.28