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Nevada rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $645.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $489.78 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $363.08 / $524.81
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $676.08 / $1,174.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $331.13 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $407.38 / $602.56