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Nebraska rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.50 / $1,583.50 / $1,583.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.50 / $1,583.50 / $1,867.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.38 / $2,400.63 / $2,424.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $2,731.39 / $2,731.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.30 / $2,731.39 / $4,211.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.04 / $2,691.95 / $9,894.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.37 / $1,255.64 / $2,010.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,723.38 / $2,731.39 / $3,441.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.23 / $3,190.63 / $5,522.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.10 / $1,238.78 / $1,464.24