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Nebraska rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,885.12 / $2,885.12 / $2,885.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,885.12 / $2,885.12 / $3,401.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,976.30 / $4,373.93 / $4,418.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $4,976.55 / $4,976.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,840.97 / $5,270.63 / $7,673.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.80 / $4,904.70 / $21,171.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.46 / $2,677.55 / $3,761.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,962.00 / $4,976.55 / $6,270.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,442.00 / $5,881.38 / $10,252.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,722.46 / $2,547.42 / $3,122.37