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Virginia rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.27 / $281.27 / $284.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.95 / $281.27 / $300.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.34 / $533.34 / $566.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.70 / $306.70 / $391.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.00 / $286.00 / $364.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $340.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $340.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.34 / $480.01 / $640.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.69 / $329.35 / $607.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $700.54 / $888.37
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.20 / $402.51 / $666.68
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.20 / $402.51 / $666.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.45 / $266.08 / $392.00