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Nevada rates for HCPCS L1630

Hip orthosis (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.92 / $70.92 / $81.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.92 / $78.13 / $83.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.68 / $207.68 / $207.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.80 / $116.28 / $254.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.29 / $119.29 / $152.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $212.05
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.49 / $172.68 / $299.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.56 / $95.24 / $138.76