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Nevada rates for HCPCS L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,251.77 / $3,251.77 / $8,349.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,251.77 / $4,516.56 / $8,349.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,036.81 / $10,036.81 / $10,036.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,539.84 / $5,635.06 / $12,298.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,652.12 / $6,652.12 / $7,388.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,856.05 / $6,509.17 / $6,851.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,254.60 / $4,601.64 / $7,041.76