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Nevada rates for HCPCS L6621

Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,884.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,778.28 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,778.28
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,754.23 / $4,786.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,754.23 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,778.28 / $2,511.89