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Virginia rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Facilitymedian $501 · 10th–90th $257$6170%20%40%10th90th$501Professionalmedian $263 · 10th–90th $224$4470%20%40%10th90th$263$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
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $338.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $549.54
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $501.19 / $691.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $323.59 / $489.78
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $331.13 / $575.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $302.00 / $323.59
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $407.38 / $1,288.25
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $407.38 / $1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $323.59 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $239.88 / $389.05