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Virginia rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.76 / $272.76 / $275.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.24 / $272.76 / $310.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.17 / $517.17 / $549.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $315.95 / $402.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.00 / $277.00 / $353.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.44 / $364.44 / $364.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.04 / $266.04 / $364.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.03 / $465.46 / $620.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.57 / $328.05 / $588.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.00 / $679.32 / $861.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.35 / $388.66 / $646.48
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.35 / $388.66 / $646.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.46 / $258.02 / $397.59