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Nevada rates for HCPCS L5200

Above knee (AK), molded socket, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.56 / $1,560.56 / $4,006.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.56 / $2,128.57 / $4,006.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,816.75 / $4,816.75 / $4,816.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,381.38 / $2,396.26 / $5,286.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $3,545.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $4,407.37
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,678.54 / $3,853.40 / $6,261.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,574.73 / $3,218.43