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Nevada rates for HCPCS L5628

Addition To Lower Extremity Test Socket Hemipelvectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.97 / $187.97 / $482.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.97 / $262.05 / $482.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.19 / $580.19 / $580.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.40 / $352.40 / $772.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.12 / $499.82 / $499.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $458.77 / $514.80
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $464.15 / $754.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.30 / $382.03 / $433.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.30 / $289.10 / $442.41