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Virginia rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.64 / $1,254.64 / $1,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.51 / $1,254.64 / $1,316.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,378.91 / $2,378.91 / $2,526.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.56 / $1,275.56 / $1,665.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.00 / $1,276.00 / $1,626.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,172.52 / $1,606.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.24 / $2,141.02 / $2,854.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.46 / $1,465.00 / $2,669.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.00 / $3,124.71 / $3,962.49
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.33 / $1,795.34 / $2,839.17
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.33 / $1,795.34 / $2,839.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.66 / $1,186.81 / $1,702.64