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Nevada rates for HCPCS L7403

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material

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 / $380.19
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
$269.15 / $269.15 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $288.40 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $288.40
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
$389.05 / $446.68 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $263.03 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $281.84 / $407.38