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Virginia rates for HCPCS L5644

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.88 / $373.88 / $377.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.15 / $373.88 / $404.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.91 / $708.91 / $752.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.10 / $433.10 / $553.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $380.00 / $484.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $334.77 / $458.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.24 / $638.02 / $850.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.32 / $449.65 / $806.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $931.16 / $1,180.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.40 / $535.01 / $886.14
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.40 / $535.01 / $886.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.43 / $353.67 / $544.99