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Nevada rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.42 / $1,527.42 / $3,921.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.42 / $2,121.52 / $3,921.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,714.47 / $4,714.47 / $4,714.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,591.62 / $2,902.12 / $5,753.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $3,470.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,886.72 / $3,077.39
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.66 / $3,771.58 / $6,128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.55 / $2,152.71 / $3,317.27