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Virginia rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Facilitymedian $2,951 · 10th–90th $1,514$3,6310%20%40%10th90th$2,951Professionalmedian $1,660 · 10th–90th $1,349$2,7540%20%10th90th$1,660$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,513.56 / $2,454.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,090.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $3,548.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,737.80 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,951.21 / $4,073.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,905.46 / $2,884.03
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,089.30 / $3,630.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,819.70 / $1,905.46
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,398.83 / $6,025.60
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,398.83 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,089.30 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,445.44 / $2,290.87