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Virginia rates for HCPCS L5341

Hemipelvectomy Canadian Type Molded Socket Endoskeletal System Hip Joint Single Axis Knee Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,199.21 / $3,199.21 / $3,233.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,974.48 / $3,199.21 / $3,643.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,065.98 / $6,065.98 / $6,442.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.79 / $3,688.79 / $4,733.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,386.40 / $3,399.41 / $4,146.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $3,790.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $2,766.97 / $3,790.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,246.18 / $5,459.38 / $7,279.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.69 / $3,730.69 / $6,806.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.00 / $7,967.69 / $10,103.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.37 / $4,577.93 / $7,239.61
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,323.37 / $4,577.93 / $7,239.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,837.18 / $3,026.25 / $4,663.35