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Nevada rates for HCPCS L5614

Addition to lower extremity, exoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.17 / $644.17 / $1,653.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.17 / $894.73 / $1,653.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.29 / $1,988.29 / $1,988.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.98 / $1,111.77 / $2,426.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,463.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $1,314.06 / $2,952.19
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.66 / $1,590.63 / $2,584.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.41 / $1,016.30 / $1,367.91