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Nevada rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,801.18 / $1,801.18 / $4,624.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.18 / $2,427.59 / $4,624.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,559.44 / $5,559.44 / $5,559.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,504.26 / $2,547.31 / $5,559.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $4,092.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $3,006.81 / $3,674.25
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,091.54 / $4,447.55 / $7,227.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.74 / $2,238.19 / $3,466.94