go back

Nevada rates for HCPCS L1290

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral trochanteric pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.32 / $40.32 / $46.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $40.32 / $48.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.06 / $118.06 / $118.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.86 / $53.11 / $118.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.55 / $60.55 / $86.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $60.55 / $78.03
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $98.17 / $170.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.59 / $44.18 / $73.63