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Nevada rates for HCPCS L6895

Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.13 / $217.13 / $557.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.13 / $321.63 / $557.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.20 / $670.20 / $670.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.53 / $448.79 / $893.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.79 / $418.79 / $493.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.72 / $418.79 / $530.38
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.69 / $536.16 / $871.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.73 / $306.73 / $306.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.14 / $334.36 / $503.78