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Nebraska rates for HCPCS L6884

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,036.75 / $2,036.75 / $2,036.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.75 / $2,036.75 / $2,401.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,807.07 / $3,087.78 / $3,118.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $3,513.21 / $3,513.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,283.76 / $3,513.21 / $5,417.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.87 / $3,495.92 / $14,087.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.97 / $1,766.50 / $2,655.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.93 / $3,513.21 / $4,426.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,877.32 / $4,103.91 / $7,237.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.22 / $1,611.36 / $2,059.96