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Nevada rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,690.16 / $2,690.16 / $6,907.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,690.16 / $3,319.37 / $6,907.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,303.35 / $8,303.35 / $8,303.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,740.27 / $3,804.46 / $8,303.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $6,112.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $4,366.38 / $5,487.71
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,617.39 / $6,642.68 / $10,794.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.62 / $3,106.84 / $5,178.07