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Virginia rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,563.12 / $1,563.12 / $1,579.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.34 / $1,563.12 / $1,661.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,963.80 / $2,963.80 / $3,147.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.30 / $1,715.30 / $2,227.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.00 / $1,589.00 / $2,026.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,980.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.66 / $2,667.42 / $3,556.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.83 / $1,822.78 / $3,373.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.00 / $3,892.97 / $4,936.72
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.78 / $2,227.31 / $3,537.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.78 / $2,227.31 / $3,537.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.17 / $1,478.61 / $2,195.59