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Nebraska rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $263.03 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $549.54 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $478.63 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $257.04 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $1,047.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,047.13 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $316.23 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $331.13