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Nevada rates for HCPCS L0621

Sacroiliac Orthosis Flexible Provides Pelvic- Sacral Support Reduces Motion About The Sacro- Iliac Joint Includes Straps Closures May Include Pendulous Abdomen Design Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.14 / $21.14 / $24.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $31.09 / $62.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.81 / $32.81 / $32.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.83 / $63.26 / $67.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.20 / $67.20 / $101.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.06 / $67.20 / $77.73
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.61 / $55.39 / $115.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $51.83 / $86.38