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Nevada rates for HCPCS L1250

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), anterior ASIS pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.59 / $31.59 / $36.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.59 / $36.45 / $44.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.52 / $92.52 / $92.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.67 / $49.30 / $108.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.62 / $61.62 / $68.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $61.14 / $65.68
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.45 / $76.93 / $133.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.79 / $40.61 / $61.81