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Virginia rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Facilitymedian $3,802 · 10th–90th $1,950$4,5710%20%40%10th90th$3,802Professionalmedian $2,042 · 10th–90th $1,660$3,4670%20%10th90th$2,042$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,995.26 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,949.84 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $4,265.80
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,691.53 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,801.89 / $5,248.07
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,511.89 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,570.40 / $4,365.16
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,290.87 / $2,454.71
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,090.30 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,090.30 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,570.40 / $4,570.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,862.09 / $2,951.21