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Virginia rates for HCPCS L5824

Addition, endoskeletal knee-shin system, single axis, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.76 / $970.76 / $981.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.76 / $970.76 / $1,105.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,840.64 / $1,840.64 / $1,954.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.51 / $1,124.51 / $1,451.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.00 / $1,031.51 / $1,258.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.48 / $1,408.48 / $1,408.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.19 / $1,028.19 / $1,408.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.45 / $1,656.58 / $2,208.77
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.83 / $1,167.50 / $2,116.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.00 / $2,417.69 / $3,065.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,008.43 / $1,389.12 / $2,196.77
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.43 / $1,389.12 / $2,196.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.96 / $918.28 / $1,415.04