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Nevada rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.21 / $1,205.21 / $3,094.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.21 / $1,673.99 / $3,094.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,719.97 / $3,719.97 / $3,719.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,053.24 / $3,053.24 / $6,099.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,738.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.56 / $1,738.18 / $2,452.50
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.63 / $3,093.08 / $5,356.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.32 / $1,699.03 / $2,831.71