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Virginia rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.84 / $357.84 / $361.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.71 / $357.84 / $407.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.50 / $678.50 / $720.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.21 / $411.21 / $529.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.00 / $364.00 / $463.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.68 / $472.30 / $472.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $472.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.95 / $610.65 / $814.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.52 / $430.36 / $780.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.00 / $891.20 / $1,130.15
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.73 / $509.89 / $848.13
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.73 / $509.89 / $848.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.29 / $338.50 / $521.61