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Virginia rates for HCPCS L5610

Addition to lower extremity, endoskeletal system, above knee (AK), hydracadence system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.57 / $1,310.57 / $1,324.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.23 / $1,310.57 / $1,492.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,484.96 / $2,484.96 / $2,639.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.14 / $1,518.14 / $2,021.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.00 / $1,332.00 / $1,698.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,552.76 / $1,552.76 / $1,552.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.51 / $1,133.51 / $1,552.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.47 / $2,236.46 / $2,981.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.34 / $1,533.37 / $2,828.70
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.00 / $3,264.02 / $4,139.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.44 / $1,875.39 / $2,965.76
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.44 / $1,875.39 / $2,965.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.74 / $1,239.72 / $1,910.37