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Nebraska rates for HCPCS L6640

Upper Extremity Additions Shoulder Abduction Joint Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.05 / $220.05 / $220.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.05 / $220.05 / $259.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.26 / $333.60 / $336.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.07 / $379.57 / $379.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.07 / $379.57 / $589.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.05 / $377.69 / $1,746.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.37 / $220.43 / $286.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.45 / $379.57 / $510.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.68 / $448.58 / $781.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.02 / $381.02 / $381.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.37 / $172.15 / $258.45