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Nevada rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.35 / $53.35 / $136.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.35 / $67.22 / $136.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.65 / $164.65 / $164.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.13 / $76.13 / $166.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $121.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $139.77
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.57 / $136.91 / $237.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.16 / $82.54 / $93.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $62.46 / $104.10