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Nebraska rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,833.70 / $5,833.70 / $5,833.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,833.70 / $5,833.70 / $6,878.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,040.06 / $8,844.06 / $8,933.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $10,062.58 / $10,062.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,553.03 / $10,062.58 / $15,516.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,075.20 / $10,013.07 / $46,975.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,482.81 / $5,843.43 / $7,606.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,033.14 / $10,062.58 / $13,774.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,366.86 / $12,060.09 / $20,730.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,482.81 / $5,565.17 / $6,970.60