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Nebraska rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.09 / $407.09 / $407.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.09 / $407.09 / $480.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.04 / $617.15 / $623.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $702.19 / $702.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.94 / $702.19 / $1,082.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.38 / $698.73 / $3,399.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.04 / $407.77 / $530.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.13 / $702.19 / $969.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.86 / $841.58 / $1,446.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.04 / $318.47 / $490.75