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Nevada rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.93 / $95.93 / $246.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.93 / $133.06 / $246.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.08 / $296.08 / $296.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.38 / $133.38 / $296.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.76 / $138.76 / $217.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $138.76 / $195.69
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.65 / $236.87 / $426.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.74 / $110.79 / $184.65