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Nevada rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,972.39 / $1,972.39 / $5,064.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.39 / $2,433.71 / $5,064.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,087.90 / $6,087.90 / $6,087.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.59 / $2,776.59 / $6,087.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $4,481.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,853.06 / $4,023.51
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,385.41 / $4,870.32 / $7,914.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.56 / $2,277.89 / $3,796.48