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Nevada rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.33 / $252.33 / $647.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.33 / $311.33 / $647.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.81 / $778.81 / $778.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.82 / $356.85 / $778.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $573.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $648.78
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.09 / $623.04 / $1,012.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.17 / $291.41 / $485.68