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Nevada rates for HCPCS L5695

Addition to lower extremity, above knee (AK), pelvic control, sleeve suspension, neoprene or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.55 / $84.55 / $217.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.55 / $117.44 / $217.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.98 / $260.98 / $260.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.56 / $120.12 / $260.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $122.31 / $192.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $122.31 / $172.49
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.13 / $208.78 / $375.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $99.36 / $162.75