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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
$140.58 / $140.58 / $360.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.58 / $195.26 / $360.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.90 / $433.90 / $433.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.53 / $267.12 / $529.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $319.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.36 / $209.36 / $515.25
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.29 / $347.12 / $564.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.66 / $231.94 / $298.52