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Nevada rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $51.29 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $53.70 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $70.79 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $51.29 / $72.44
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $102.33 / $181.97
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $102.33 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $61.66 / $93.33