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Nevada rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.19 / $88.19 / $226.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $108.81 / $226.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.19 / $272.19 / $272.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.61 / $123.82 / $272.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $200.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $161.19 / $181.39
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $217.75 / $391.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $135.79 / $169.74