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Nebraska rates for HCPCS L6925

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,322.56 / $6,322.56 / $6,322.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,322.56 / $6,322.56 / $7,454.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,713.79 / $9,585.19 / $9,682.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $10,905.82 / $10,905.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,608.70 / $12,525.00 / $16,816.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,412.74 / $10,852.16 / $48,028.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,774.66 / $6,132.80 / $8,243.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,873.92 / $10,905.82 / $14,048.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,931.90 / $13,070.71 / $22,467.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,774.66 / $4,946.17 / $7,109.25