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Virginia rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.66 / $461.66 / $466.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.23 / $461.66 / $525.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.36 / $875.36 / $929.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.32 / $532.32 / $688.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.00 / $469.00 / $598.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $447.45 / $612.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.75 / $787.82 / $1,050.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $538.36 / $996.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $1,149.79 / $1,458.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.58 / $657.83 / $1,094.20
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.58 / $657.83 / $1,094.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.75 / $577.08 / $657.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.77 / $436.70 / $672.95