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Nevada rates for HCPCS L7401

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.97 / $130.97 / $336.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.97 / $181.94 / $336.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.30 / $404.30 / $404.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.24 / $248.87 / $493.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $297.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $262.17 / $285.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.82 / $323.44 / $525.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $184.60 / $282.49