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Nevada rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.80 / $901.80 / $2,315.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.80 / $1,112.73 / $2,315.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.46 / $2,783.46 / $2,783.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.83 / $1,275.38 / $2,783.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $2,049.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,620.00 / $1,839.60
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.85 / $2,226.77 / $3,618.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.47 / $1,041.48 / $1,735.80