go back

Virginia rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.88 / $328.88 / $332.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.22 / $328.88 / $356.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.59 / $623.59 / $662.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.60 / $461.60 / $577.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.00 / $334.00 / $426.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.33 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $389.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.51 / $561.23 / $748.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.84 / $395.53 / $709.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $819.09 / $1,038.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.65 / $470.62 / $779.49
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.65 / $470.62 / $779.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.77 / $311.10 / $479.40