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Nevada rates for HCPCS L7400

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $117.00 / $300.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $162.51 / $300.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.13 / $361.13 / $361.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.31 / $222.31 / $440.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $265.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $429.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.82 / $288.89 / $493.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.12 / $164.90 / $252.34