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Nebraska rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.29 / $532.29 / $532.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.29 / $532.29 / $627.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.62 / $806.98 / $815.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $918.16 / $918.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.92 / $918.16 / $1,415.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.51 / $913.64 / $4,278.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.79 / $533.15 / $694.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.48 / $918.16 / $1,228.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.31 / $1,085.09 / $1,891.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.79 / $481.04 / $621.73