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Virginia rates for HCPCS L5595

Preparatory Hip Disarticulation-Hemipelvectomy Pylon No Cover Sach Foot Thermoplastic Or Equal Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,674.76 / $2,674.76 / $2,703.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,285.14 / $2,674.76 / $2,902.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,071.58 / $5,071.58 / $5,386.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,952.48 / $2,952.48 / $3,699.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,719.00 / $2,842.14 / $3,466.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $3,388.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,550.11 / $4,564.42 / $6,085.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.51 / $3,216.84 / $5,773.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,866.00 / $6,661.54 / $8,447.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,778.58 / $3,827.49 / $6,052.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,778.58 / $3,827.49 / $6,052.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,370.00 / $2,530.16 / $3,715.30