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Nevada rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $707.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $954.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $416.87 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $588.84
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,584.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $446.68 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $478.63 / $831.76