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Nevada rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.11 / $253.11 / $649.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.11 / $312.32 / $649.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.25 / $781.25 / $781.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.91 / $355.30 / $781.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $379.03 / $575.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $651.40
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.45 / $625.00 / $1,015.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.27 / $292.32 / $487.20