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Nebraska rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $54.86 / $54.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.86 / $54.86 / $64.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $83.17 / $84.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $94.63 / $94.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.73 / $94.63 / $145.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.09 / $93.26 / $406.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $51.87 / $71.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.35 / $94.63 / $119.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $111.84 / $194.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $51.41 / $59.95