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Nevada rates for HCPCS L2755

Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $60.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $60.56 / $80.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.68 / $153.68 / $153.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.35 / $84.87 / $187.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $113.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $88.85 / $99.65
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $127.78 / $221.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.94 / $70.16 / $102.68