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Nevada rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.93 / $240.93 / $618.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.93 / $334.63 / $618.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.63 / $743.63 / $743.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.63 / $454.30 / $991.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.17 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $827.31
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.53 / $594.90 / $966.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.48 / $370.99 / $558.96