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Virginia rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,417.84 / $2,417.84 / $2,443.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.66 / $2,417.84 / $2,770.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,584.43 / $4,584.43 / $4,868.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,800.76 / $2,800.76 / $3,606.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.00 / $2,569.15 / $3,133.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $3,670.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,209.11 / $4,126.00 / $5,501.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,476.53 / $2,828.87 / $5,218.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.00 / $6,021.67 / $7,636.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.67 / $3,459.83 / $5,471.43
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.67 / $3,459.83 / $5,471.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.14 / $2,287.12 / $3,524.39