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Nevada rates for HCPCS L6628

Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.28 / $186.28 / $478.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.28 / $258.74 / $478.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.98 / $574.98 / $574.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.33 / $349.65 / $766.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.59 / $444.49 / $444.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $383.14 / $457.82
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.74 / $459.98 / $747.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $108.00 / $108.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.20 / $308.64 / $432.19