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Nebraska rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,746.99 / $5,746.99 / $5,746.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,746.99 / $5,746.99 / $6,776.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,920.56 / $8,712.61 / $8,800.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,541.83 / $9,913.01 / $9,913.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,541.83 / $9,913.01 / $15,286.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,066.53 / $9,864.24 / $42,519.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,431.04 / $5,328.19 / $7,493.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,884.01 / $9,913.01 / $12,490.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,943.00 / $11,715.38 / $20,422.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.09 / $9,078.09 / $9,078.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,431.04 / $4,495.89 / $6,157.94