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Nebraska rates for HCPCS L6676

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.62 / $99.62 / $99.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.62 / $99.62 / $421.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.30 / $151.02 / $152.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $171.83 / $171.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.54 / $171.83 / $264.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.27 / $170.98 / $771.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.47 / $96.62 / $129.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.33 / $171.83 / $221.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.85 / $203.07 / $353.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.47 / $86.58 / $111.90