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Nevada rates for HCPCS L1620

Hip Orthosis Abduction Control Of Hip Joints Flexible (Pavlik Harness) Prefabricated Item That Has Been Trimmed Bent Molded Assembled Orotherwise Customized To Fit A Specific Patient By An Individual With Expertise (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.91 / $63.91 / $73.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $63.91 / $90.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.16 / $187.16 / $187.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.36 / $94.06 / $201.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.36 / $117.36 / $126.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.67 / $117.36 / $126.78
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $155.62 / $269.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.96 / $75.31 / $125.04