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Nevada rates for HCPCS L5699

All lower extremity prostheses, shoulder harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.67 / $96.67 / $248.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $119.29 / $248.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.38 / $298.38 / $298.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.41 / $136.93 / $298.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $219.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $249.50
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.93 / $238.70 / $429.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $111.65 / $186.08