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Nevada rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.10 / $1,430.10 / $3,671.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.10 / $1,764.59 / $3,671.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,414.09 / $4,414.09 / $4,414.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.34 / $1,988.34 / $4,414.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $3,249.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $2,482.86 / $2,917.28
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.63 / $3,531.27 / $5,738.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.08 / $2,182.50 / $2,477.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,293.19 / $1,651.61 / $2,752.68