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Nevada rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.57 / $644.57 / $743.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.57 / $743.73 / $970.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.48 / $1,887.48 / $1,887.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.28 / $1,137.16 / $2,516.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,389.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $1,179.40 / $1,493.81
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.60 / $1,509.98 / $2,453.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.30 / $941.64 / $1,350.91