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Nevada rates for HCPCS L5858

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,094.78 / $7,094.78 / $18,216.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,094.78 / $9,854.33 / $18,216.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,898.50 / $21,898.50 / $21,898.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,037.84 / $12,489.26 / $26,723.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,513.81 / $14,513.81 / $16,121.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,595.08 / $13,261.89 / $15,472.44
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,177.50 / $17,518.80 / $28,468.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,829.28 / $10,924.91 / $15,408.48