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Nevada rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,818.38 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,318.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $6,025.60 / $7,762.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,288.25
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $2,041.74
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $3,019.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,090.30 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,348.96