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Nevada rates for HCPCS L5704

Custom Shaped Protective Cover Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.13 / $237.13 / $608.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.13 / $329.36 / $608.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.90 / $731.90 / $731.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.58 / $384.00 / $842.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.91 / $394.91 / $538.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.27 / $394.90 / $483.73
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.01 / $585.52 / $951.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.87 / $391.24 / $489.05