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Nevada rates for HCPCS L8001

Breast Prosthesis Mastectomy Bra With Integratedbreast Prosthesis Form Unilateral Any Size Any Type (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.89 / $47.89 / $122.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $66.51 / $122.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.81 / $147.81 / $147.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $101.55 / $180.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.15 / $98.15 / $108.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.03 / $71.65 / $104.64
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.19 / $122.90 / $212.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.84 / $67.48 / $101.68