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Nevada rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.72 / $438.72 / $1,126.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.72 / $609.37 / $1,126.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.15 / $1,354.15 / $1,354.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.11 / $682.97 / $1,498.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $996.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $894.96
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.03 / $1,083.32 / $1,760.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.08 / $560.78 / $904.80