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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
$290.36 / $290.36 / $745.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.36 / $358.28 / $745.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.23 / $896.23 / $896.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.70 / $409.90 / $896.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $659.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $420.01 / $592.30
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.38 / $716.98 / $1,165.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.57 / $335.33 / $558.89