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Virginia rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.41 / $368.41 / $372.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.10 / $368.41 / $419.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.54 / $698.54 / $741.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.79 / $424.79 / $540.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $375.00 / $477.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.76 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $405.70 / $555.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.98 / $628.69 / $838.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.98 / $429.61 / $795.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.00 / $917.53 / $1,163.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.70 / $524.95 / $873.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.70 / $524.95 / $873.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.61 / $348.49 / $537.01