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Nevada rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,511.89 / $4,570.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $6,025.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,235.94 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,398.83 / $3,715.35
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $5,754.40 / $10,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,623.41 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,754.23 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,019.95 / $5,128.61