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Nebraska rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.16 / $129.16 / $129.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.16 / $129.16 / $152.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.00 / $195.81 / $197.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $222.79 / $222.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.89 / $222.79 / $382.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.24 / $221.70 / $1,122.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.11 / $129.36 / $168.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.15 / $222.79 / $307.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.71 / $267.02 / $458.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.11 / $101.04 / $155.59