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Nebraska rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $676.08 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $794.33 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $776.25 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $426.58 / $691.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,737.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $524.81 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $537.03