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Nebraska rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $257.04 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $489.78 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $446.68 / $2,041.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $245.47 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $1,023.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $295.12 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $316.23