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Nebraska rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.34 / $149.34 / $149.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.34 / $149.34 / $176.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.83 / $226.41 / $228.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $257.61 / $257.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.58 / $274.50 / $397.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.58 / $253.88 / $1,050.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.16 / $128.08 / $194.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.83 / $257.61 / $324.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.03 / $300.92 / $530.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.82 / $126.94 / $183.28