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Virginia rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,223.07 / $3,223.07 / $3,257.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,223.07 / $3,223.07 / $3,670.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,111.24 / $6,111.24 / $6,490.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.43 / $3,670.43 / $4,887.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,277.00 / $3,277.00 / $4,177.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $4,728.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,277.87 / $5,500.12 / $7,333.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.27 / $3,770.99 / $6,956.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,459.00 / $8,027.14 / $10,179.35
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,348.16 / $4,592.63 / $7,293.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,348.16 / $4,592.63 / $7,293.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.31 / $8,148.31 / $9,777.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,860.58 / $3,048.83 / $4,698.14