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Virginia rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.09 / $41.09 / $41.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.66 / $41.09 / $41.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.92 / $77.92 / $82.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.13 / $39.13 / $49.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $53.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.66 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $44.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.54 / $70.13 / $93.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $46.93 / $87.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $102.34 / $129.78
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $58.81 / $97.55
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $58.81 / $97.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.52 / $38.86 / $55.88