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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
$212.41 / $212.41 / $545.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.41 / $295.04 / $545.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.64 / $655.64 / $655.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.70 / $345.85 / $763.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.65 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $452.88 / $526.19
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.58 / $524.51 / $852.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.54 / $290.50 / $439.93