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Nevada rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.85 / $170.85 / $438.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.85 / $237.31 / $438.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.36 / $527.36 / $527.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.89 / $319.89 / $703.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $388.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $417.55
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.26 / $421.89 / $685.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.00 / $263.08 / $402.61