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Nevada rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $316.23 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $316.23
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $446.68 / $776.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $446.68 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $263.03 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $407.38