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Virginia rates for HCPCS L5711

Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.36 / $345.36 / $349.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.68 / $345.36 / $376.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.85 / $654.85 / $695.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.88 / $382.88 / $487.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.00 / $351.00 / $447.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.67 / $468.67 / $468.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.13 / $342.13 / $468.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.40 / $589.37 / $785.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.85 / $402.74 / $741.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.00 / $860.14 / $1,090.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.76 / $492.11 / $818.56
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.76 / $492.11 / $818.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.20 / $383.20 / $383.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.30 / $326.69 / $481.80