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Nevada rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.35 / $42.35 / $48.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.35 / $49.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.01 / $124.01 / $124.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.58 / $61.97 / $135.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $91.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $66.72 / $81.94
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.94 / $103.10 / $178.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.09 / $72.81 / $111.61