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Nevada rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.19 / $149.19 / $383.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.19 / $207.23 / $383.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.51 / $460.51 / $460.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.25 / $210.73 / $462.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $339.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $232.98 / $304.33
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.07 / $368.41 / $598.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.21 / $230.64 / $288.30