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Nevada rates for HCPCS L6695

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism

Facilitymedian $251 · 10th–90th $251–$7940%50%90th$251Professionalmedian $389 · 10th–90th $288–$7410%10%10th90th$389$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $562.34 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $562.34
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $794.33 / $1,412.54
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $794.33 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $436.52 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $478.63 / $870.96