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Virginia rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.20 / $239.20 / $241.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.23 / $239.20 / $241.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.53 / $453.53 / $481.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.64 / $217.64 / $282.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.00 / $243.00 / $310.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $297.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $297.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.47 / $408.18 / $544.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.27 / $273.17 / $513.78
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.00 / $595.72 / $755.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.49 / $342.29 / $566.91
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.49 / $342.29 / $566.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.51 / $226.27 / $340.85