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Nebraska rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.90 / $3,131.90 / $3,131.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,131.90 / $3,131.90 / $3,692.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,316.42 / $4,748.06 / $4,796.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $5,402.23 / $5,402.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,255.05 / $5,721.75 / $8,330.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.65 / $5,324.23 / $22,982.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.79 / $2,906.58 / $4,083.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,386.43 / $5,402.23 / $6,806.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,822.00 / $6,384.46 / $11,129.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,869.79 / $2,450.10 / $3,389.45