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Nevada rates for HCPCS L6925

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.81 / $3,308.81 / $8,495.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,308.81 / $4,617.97 / $8,495.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,212.86 / $10,212.86 / $10,212.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,554.10 / $5,623.53 / $12,330.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,518.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,589.10 / $5,301.21 / $7,261.93
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,679.25 / $8,170.29 / $13,276.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,612.32 / $4,694.37 / $7,542.28