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Nevada rates for HCPCS L5683

Addition To Lower Extremity Below Knee/Above Knee Custom Fabricated Socket Insert For Other Than Congenital Or Atypical Traumatic Amputee Siliconegel Elastomeric Or Equal For Use With Or Without Locking Mechanism Initial Only(For Other Than I Nitial Use Code L5673 Or L5679)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.14 / $502.14 / $1,289.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.14 / $697.46 / $1,289.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.90 / $1,549.90 / $1,549.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.21 / $954.08 / $1,891.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.52 / $950.52 / $1,140.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.88 / $950.52 / $1,013.30
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.88 / $1,239.92 / $2,014.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.27 / $761.66 / $1,083.25