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Virginia rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Facilitymedian $407 · 10th–90th $209$5130%20%40%10th90th$407Professionalmedian $240 · 10th–90th $195$3980%50%10th90th$240$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$208.93 / $213.80 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $213.80 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $501.19
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $407.38 / $562.34
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $263.03 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $295.12 / $512.86
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $251.19 / $263.03
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $1,174.90
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $295.12 / $407.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $199.53 / $316.23