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Virginia rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.29 / $161.29 / $163.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.61 / $161.29 / $177.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.82 / $305.82 / $324.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $186.03 / $238.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $171.39 / $209.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.47 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $197.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.07 / $275.24 / $366.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $193.97 / $348.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $401.69 / $509.39
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.55 / $229.83 / $382.28
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.55 / $229.83 / $382.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.90 / $152.57 / $235.11