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Virginia rates for HCPCS L5678

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

Facilitymedian $49 · 10th–90th $25$630%20%40%10th90th$49Professionalmedian $28 · 10th–90th $22$460%20%40%10th90th$28$0.1$0.5$5.0$50.0$500.0$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
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $38.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $51.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $60.26
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $29.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $48.98 / $67.61
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $47.86
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $64.57
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $28.18 / $31.62
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $39.81 / $141.25
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $39.81 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $35.48 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.99 / $38.02