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Nevada rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.64 / $1,270.64 / $3,262.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.64 / $1,567.83 / $3,262.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,921.91 / $3,921.91 / $3,921.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.63 / $1,788.71 / $3,921.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $2,887.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,902.78 / $2,592.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,180.92 / $3,137.53 / $5,098.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.00 / $1,467.45 / $2,445.75