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Nebraska rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.08 / $259.08 / $259.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.08 / $259.08 / $305.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.06 / $392.76 / $396.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $446.89 / $446.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.67 / $446.89 / $690.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.17 / $445.59 / $2,155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $259.51 / $337.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.59 / $446.89 / $617.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.58 / $535.60 / $920.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.68 / $241.65 / $312.33