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Nevada rates for HCPCS A5514

For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, 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 / $46.40 / $47.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $46.40 / $47.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.97 / $45.97 / $45.97
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
$26.47 / $30.75 / $64.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.60 / $35.60 / $35.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.99 / $34.40 / $43.95
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.72 / $44.96 / $85.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.01 / $24.28 / $40.46