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Nebraska rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Facilitymedian $631 · 10th–90th $372–$2,9510%20%10th90th$631Professionalmedian $398 · 10th–90th $224–$1,6600%10%20%10th90th$398$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $398.11 / $2,630.27
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $602.56 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $724.44 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $676.08 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $371.54 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $1,659.59
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,548.82 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $426.58 / $645.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $309.03 / $489.78