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Nevada rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.09 / $68.09 / $174.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $93.60 / $174.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.16 / $210.16 / $210.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.47 / $107.08 / $234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $154.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $113.00 / $148.19
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.87 / $174.74 / $302.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $87.61 / $140.43