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Nebraska rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.47 / $204.47 / $204.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.47 / $204.47 / $241.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.80 / $309.98 / $313.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $352.68 / $352.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.10 / $352.68 / $543.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.34 / $347.60 / $1,446.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.07 / $173.61 / $266.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.67 / $352.68 / $444.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.60 / $411.99 / $726.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.31 / $98.31 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.68 / $172.06 / $200.64