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Nevada rates for HCPCS L4040

Replace molded thigh lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.39 / $209.39 / $241.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.97 / $209.39 / $245.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.16 / $613.16 / $613.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.30 / $280.08 / $613.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$352.55 / $352.55 / $451.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.36 / $352.55 / $405.24
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.97 / $490.53 / $797.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.64 / $229.42 / $382.37