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Virginia rates for HCPCS L5611

Addition To Lower Extremity Endoskeletal System Above Knee - Knee Disarticulation 4 Bar Linkage With Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,019.88 / $1,019.88 / $1,030.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.38 / $1,019.88 / $1,104.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,933.80 / $1,933.80 / $2,053.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.71 / $1,168.71 / $1,510.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.00 / $1,037.00 / $1,321.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.69 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $1,226.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.66 / $1,740.42 / $2,320.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.83 / $1,226.58 / $2,201.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.00 / $2,540.06 / $3,221.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.47 / $1,453.26 / $2,307.94
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.47 / $1,453.26 / $2,307.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.12 / $964.75 / $1,486.65