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Virginia rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.46 / $30.46 / $30.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $30.46 / $32.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.77 / $57.77 / $61.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.13 / $35.13 / $44.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $39.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $37.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.44 / $51.99 / $69.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $36.64 / $66.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $75.89 / $96.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.32 / $43.41 / $72.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $43.41 / $72.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $28.82 / $44.41