go back

Virginia rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.08 / $505.08 / $510.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.75 / $505.08 / $671.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.66 / $957.66 / $1,017.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.85 / $582.85 / $732.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $513.00 / $654.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.90 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $694.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.36 / $861.89 / $1,149.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.44 / $590.94 / $1,090.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.00 / $1,257.90 / $1,595.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.67 / $719.69 / $1,197.08
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.67 / $719.69 / $1,197.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.27 / $477.77 / $736.23