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Nebraska rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $30 · 10th–90th $16–$1350%10%20%10th90th$30Professionalmedian $18 · 10th–90th $10–$780%10%20%10th90th$18$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $18.20 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $32.36 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $31.62 / $134.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $16.98 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $77.62
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $19.50 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $22.91