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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
$53.70 / $53.70 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $53.70 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $93.33 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $93.33 / $407.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $51.29 / $85.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $95.50 / $213.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $213.80 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $58.88 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.66 / $67.61