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Nebraska rates for HCPCS L6930

Below elbow, 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
$5,701.34 / $5,701.34 / $5,701.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,701.34 / $5,701.34 / $6,722.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,857.64 / $8,643.39 / $8,730.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $9,834.28 / $9,834.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,300.68 / $9,834.28 / $15,164.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,879.76 / $9,768.01 / $42,111.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,403.78 / $5,361.23 / $7,433.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,805.50 / $9,834.28 / $12,390.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,720.00 / $11,622.33 / $20,260.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,403.78 / $4,794.05 / $6,196.12