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Nevada rates for HCPCS L7404

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.18 / $212.18 / $544.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.18 / $294.70 / $544.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.91 / $654.91 / $654.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.01 / $403.13 / $799.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.07 / $434.07 / $482.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.87 / $424.74 / $462.74
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.19 / $523.94 / $851.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.15 / $299.04 / $460.81