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Nevada rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $457.09 / $776.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $575.44 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $416.87 / $616.60
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $954.99 / $1,659.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $954.99 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $467.74 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $851.14