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Nevada rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,238.72 / $3,890.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,311.31 / $3,388.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,570.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,454.71 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $2,454.71
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,365.16 / $7,585.78
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,365.16 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,570.40 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $3,981.07