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Nevada rates for HCPCS L5500

Initial, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.16 / $663.16 / $1,702.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.16 / $821.64 / $1,702.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,046.88 / $2,046.88 / $2,046.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.84 / $1,450.68 / $2,055.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $1,506.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $1,352.80
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.26 / $1,637.50 / $2,660.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.15 / $769.04 / $1,281.73