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Nevada rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.35 / $14.35 / $16.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $14.35 / $21.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.01 / $42.01 / $42.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.97 / $22.33 / $48.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $30.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $40.06
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $34.93 / $60.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $17.98 / $28.06