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Nevada rates for HCPCS L4000

Replace girdle for spinal orthosis (cervical-thoracic-lumbar-sacral orthosis (CTLSO) or spinal orthosis SO)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.05 / $654.05 / $754.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.74 / $654.05 / $766.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,915.27 / $1,915.27 / $1,915.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.17 / $874.87 / $1,915.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $1,409.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $1,469.99
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.06 / $1,532.22 / $2,489.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.70 / $1,028.09 / $1,723.74