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Nebraska rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,375.69 / $2,375.69 / $2,375.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.69 / $2,375.69 / $2,801.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,274.21 / $3,601.63 / $3,638.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $4,097.85 / $4,097.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.80 / $4,097.85 / $6,318.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.63 / $4,038.69 / $17,433.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.33 / $2,204.79 / $3,097.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,085.87 / $4,097.85 / $5,163.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,657.00 / $4,842.92 / $8,442.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.33 / $1,989.28 / $2,571.06