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Virginia rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Facilitymedian $339 · 10th–90th $174$4270%20%40%10th90th$339Professionalmedian $200 · 10th–90th $158$3310%20%10th90th$200$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $177.83 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $426.58
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $338.84 / $478.63
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $331.13
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $251.19 / $426.58
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $223.87 / $234.42
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $977.24
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $281.84 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $251.19 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $165.96 / $263.03