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Nevada rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.50 / $254.50 / $293.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.97 / $254.50 / $298.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.25 / $745.25 / $745.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.32 / $340.43 / $745.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $548.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $492.54
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.43 / $596.20 / $968.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.55 / $276.36 / $325.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $278.85 / $464.75