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Nebraska rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.33 / $314.33 / $314.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.33 / $314.33 / $370.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.22 / $476.54 / $481.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $542.19 / $542.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.52 / $542.19 / $836.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.95 / $534.36 / $2,227.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.66 / $275.58 / $409.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.61 / $542.19 / $683.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.06 / $633.35 / $1,117.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.82 / $245.90 / $318.51