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Nebraska rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $21.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.66 / $28.21 / $28.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $32.11 / $32.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $32.11 / $49.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.62 / $31.65 / $134.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $17.11 / $24.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.02 / $32.11 / $40.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $37.95 / $66.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $14.57 / $19.78