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Nebraska rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.13 / $433.13 / $433.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.13 / $433.13 / $510.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.94 / $656.63 / $663.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $747.11 / $747.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.75 / $872.72 / $1,152.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.81 / $744.92 / $3,569.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $433.86 / $564.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.92 / $747.11 / $1,019.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.45 / $895.41 / $1,539.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.58 / $338.84 / $516.01