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Nevada rates for HCPCS L1200

Thoracic-lumbar-sacral orthosis (TLSO), inclusive of furnishing initial orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.73 / $803.73 / $927.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.45 / $803.73 / $1,108.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,353.55 / $2,353.55 / $2,353.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.79 / $1,138.79 / $2,353.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,184.20 / $1,184.20 / $1,732.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.47 / $1,184.20 / $1,555.48
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.79 / $1,882.84 / $3,059.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.52 / $880.62 / $1,467.70