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Virginia rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $2.67 / $2.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.67 / $3.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $17.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.29 / $7.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $2.91 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.98 / $6.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.67 / $3.47 / $5.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.86 / $7.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $4.19 / $7.48
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $4.19 / $7.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.41 / $4.67