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Nevada rates for HCPCS L7402

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.44 / $141.44 / $363.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.44 / $196.47 / $363.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.60 / $436.60 / $436.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $243.00 / $532.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $321.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $283.14 / $339.37
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.79 / $349.28 / $567.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.80 / $233.38 / $300.36