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Nevada rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.44 / $158.44 / $406.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.44 / $212.17 / $406.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.05 / $489.05 / $489.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.07 / $240.07 / $530.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.16 / $306.16 / $360.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $306.16 / $326.39
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.95 / $391.24 / $635.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.49 / $198.59 / $326.77