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Nevada rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.86 / $169.86 / $196.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $169.86 / $330.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.41 / $497.41 / $497.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $222.79 / $497.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $366.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $328.74
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.61 / $397.93 / $646.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.53 / $184.46 / $217.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.72 / $186.11 / $310.19