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Nebraska rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.55 / $513.55 / $513.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.55 / $513.55 / $605.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.78 / $778.57 / $786.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $885.83 / $885.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.25 / $885.83 / $1,365.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.35 / $881.48 / $3,676.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.60 / $463.39 / $669.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.24 / $885.83 / $1,116.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.00 / $1,046.89 / $1,824.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.60 / $401.75 / $540.37