go back

Nebraska rates for HCPCS L7191

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,128.31 / $8,128.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,606.93 / $8,128.31 / $47,863.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $12,302.69 / $12,302.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $14,125.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $15,488.17 / $21,379.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $13,803.84 / $58,884.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $7,413.10 / $12,589.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,803.84 / $14,125.38 / $31,622.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $14,125.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $31,622.78 / $31,622.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,317.64 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $6,309.57 / $10,000.00