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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,960.06 / $1,960.06 / $1,980.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.11 / $1,960.06 / $2,035.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,716.43 / $3,716.43 / $3,946.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.88 / $2,060.88 / $2,636.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.75 / $2,074.75 / $2,540.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $2,677.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $1,954.85 / $2,677.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.50 / $3,344.79 / $4,459.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.50 / $2,285.67 / $4,169.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,131.00 / $4,881.56 / $6,190.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,036.13 / $2,804.77 / $4,435.49
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.13 / $2,804.77 / $4,435.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.72 / $1,854.09 / $2,792.93