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Virginia rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.13 / $25.13 / $25.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.27 / $25.13 / $28.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.66 / $47.66 / $50.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.86 / $28.86 / $37.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $32.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $21.74 / $29.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $42.89 / $57.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $29.40 / $54.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $62.60 / $79.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.49 / $35.97 / $59.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $35.97 / $59.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.16 / $23.77 / $36.64