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Nevada rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.24 / $605.24 / $1,553.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.24 / $840.65 / $1,553.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,868.10 / $1,868.10 / $1,868.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.99 / $1,131.33 / $2,490.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $1,375.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $1,167.30 / $1,530.78
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.83 / $1,494.48 / $2,428.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.73 / $931.98 / $1,426.18