go back

Nebraska rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.78 / $397.78 / $397.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.78 / $397.78 / $469.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.23 / $603.04 / $609.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $686.14 / $686.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.51 / $686.14 / $1,058.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.06 / $676.23 / $2,919.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.48 / $369.16 / $518.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.13 / $686.14 / $864.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.50 / $810.89 / $1,413.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.48 / $311.18 / $488.19