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Offset Knee Joint, Heavy-Duty

Virginia rates for HCPCS L2395

Addition to lower extremity, offset knee joint, heavy-duty, each joint

Rates data updated July 2026.

How much does Offset Knee Joint, Heavy-Duty cost?

$107

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $178 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$87.10 to $120
FacilityA hospital or hospital-owned outpatient department$178$117 to $178

How much rates vary

Facilitymedian $178 · 10th to 90th $87 to $224Professionalmedian $100 · 10th to 90th $72 to $178
$100$200$500$1K$2K$5K$10Kfacility $178professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$190.55
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$223.87
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$109.65
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$109.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$218.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$223.87
Sentara
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$524.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$141.25

Where Virginia sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 32nd of 51

$107

HI $251DC $72.44

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.