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Nevada rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.58 / $123.58 / $317.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.58 / $171.64 / $317.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.43 / $381.43 / $381.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $231.73 / $508.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.62 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $301.61
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.11 / $305.14 / $495.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.94 / $203.90 / $317.16