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Virginia rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.08 / $1,199.08 / $1,211.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.84 / $1,199.08 / $1,304.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,273.55 / $2,273.55 / $2,414.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.91 / $1,317.91 / $1,716.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.00 / $1,219.00 / $1,219.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,167.99 / $1,599.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.49 / $2,046.20 / $2,728.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.67 / $1,402.92 / $2,568.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.00 / $2,986.32 / $3,787.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.61 / $1,708.59 / $2,713.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.61 / $1,708.59 / $2,713.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.51 / $1,134.25 / $1,670.08