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Virginia rates for HCPCS L5618

Addition To Lower Extremity Test Socket Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.29 / $200.29 / $202.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.46 / $200.29 / $202.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.78 / $379.78 / $403.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.69 / $214.69 / $268.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $204.00 / $259.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.01 / $271.68 / $271.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.33 / $198.33 / $271.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.85 / $341.80 / $455.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.72 / $233.57 / $426.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.00 / $498.84 / $632.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.07 / $285.41 / $474.73
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.07 / $285.41 / $474.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.25 / $189.47 / $271.82