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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
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $338.84 / $588.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $436.52 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $436.52
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $660.69 / $1,174.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $660.69 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $398.11 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $616.60