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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
$41.69 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $93.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $66.07 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $81.28
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $125.89 / $223.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $50.12 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $72.44 / $114.82