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Nevada rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.90 / $48.90 / $125.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $67.91 / $125.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.91 / $150.91 / $150.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.96 / $92.90 / $184.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $111.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $97.88 / $106.64
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.92 / $125.49 / $217.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.96 / $68.92 / $103.83