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Nebraska rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.92 / $91.92 / $91.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.92 / $91.92 / $108.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.68 / $139.34 / $140.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $158.55 / $158.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.07 / $158.55 / $244.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.73 / $157.78 / $730.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.88 / $92.07 / $119.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.10 / $158.55 / $218.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.84 / $187.38 / $326.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.88 / $71.91 / $112.81