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Virginia rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.76 / $416.76 / $421.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.48 / $416.76 / $474.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.21 / $790.21 / $839.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.76 / $482.76 / $603.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.00 / $424.00 / $540.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $589.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.15 / $711.19 / $948.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.51 / $487.61 / $899.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.00 / $1,037.94 / $1,316.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.93 / $596.36 / $987.76
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.93 / $596.36 / $987.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.41 / $394.23 / $607.49