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Nevada rates for HCPCS A5503

For Diabetics Only Modification (Including Fitting) Of Off-The- Shelf Depth-Inlay Shoe Or Custom-Molded Shoe With Roller Or Rigid Rocker Bottom Per Shoe (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.78 / $38.78 / $39.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.16 / $38.78 / $39.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.26 / $45.26 / $45.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.94 / $28.09 / $54.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $29.14 / $31.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $31.98
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $33.95 / $71.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.83 / $33.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $19.19 / $31.98