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Virginia rates for HCPCS L5682

Addition to lower extremity, below knee (BK), thigh lacer, gluteal/ischial, molded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.88 / $395.88 / $400.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.12 / $395.88 / $428.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.62 / $750.62 / $797.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.56 / $456.56 / $570.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.00 / $402.00 / $513.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.57 / $485.57 / $485.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.47 / $354.47 / $485.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.42 / $675.56 / $900.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $476.11 / $863.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.00 / $985.94 / $1,250.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.24 / $564.09 / $938.28
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.24 / $564.09 / $938.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.45 / $374.47 / $577.04