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Nevada rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.68 / $161.68 / $415.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.68 / $224.57 / $415.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.05 / $499.05 / $499.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.13 / $264.64 / $581.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $367.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $311.77 / $345.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.52 / $399.24 / $648.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.45 / $217.69 / $335.46