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Nevada rates for HCPCS L8002

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.97 / $62.97 / $161.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $87.47 / $161.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.38 / $194.38 / $194.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.87 / $121.56 / $237.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $143.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $88.36 / $128.59
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.09 / $161.62 / $279.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.50 / $88.76 / $133.74