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Nevada rates for HCPCS L1755

Legg Perthes orthosis, (Patten bottom type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.02 / $808.02 / $932.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.02 / $828.16 / $946.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,366.10 / $2,366.10 / $2,366.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.40 / $1,086.33 / $2,378.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,741.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,982.49
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.76 / $1,892.88 / $3,075.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.75 / $889.85 / $1,483.09