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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
$645.65 / $645.65 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,137.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,318.26 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $3,467.37
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $3,548.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,041.74 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,202.26 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $1,862.09