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Nevada rates for HCPCS L5677

Additions to lower extremity, below knee (BK), knee joints, polycentric, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.64 / $255.64 / $656.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.64 / $315.43 / $656.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.04 / $789.04 / $789.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.44 / $359.88 / $789.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $580.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $400.78 / $521.48
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.78 / $631.23 / $1,025.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.97 / $317.66 / $492.06