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Nebraska rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.90 / $2,174.90 / $2,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.90 / $2,174.90 / $2,564.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.46 / $3,297.21 / $3,330.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $3,751.50 / $3,751.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.07 / $3,751.50 / $5,784.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.09 / $3,710.27 / $16,018.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.45 / $2,018.42 / $2,835.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,740.52 / $3,751.50 / $4,726.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,119.30 / $4,433.59 / $7,728.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.33 / $2,018.42 / $2,353.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.45 / $1,821.12 / $2,353.73