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Nevada rates for HCPCS A5513

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of Shore A 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.40 / $47.35 / $57.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.91 / $46.40 / $47.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.08 / $54.08 / $54.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.08 / $54.08 / $54.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.07 / $34.94 / $64.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.21 / $36.21 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.43 / $33.90 / $43.67
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.07 / $40.56 / $85.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.01 / $24.28 / $40.46