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Virginia rates for HCPCS L5639

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

Facilitymedian $1,413 · 10th–90th $724$1,7380%20%40%10th90th$1,413Professionalmedian $813 · 10th–90th $646$1,3490%20%10th90th$813$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$724.44 / $724.44 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,071.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $1,698.24
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,412.54 / $1,949.84
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $912.01 / $1,380.38
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,000.00 / $1,819.70
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $912.01 / $1,023.29
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,148.15 / $3,019.95
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,148.15 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $1,000.00 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $676.08 / $1,096.48