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Virginia rates for HCPCS L5828

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.48 / $1,850.48 / $1,870.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.66 / $1,850.48 / $2,031.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,508.65 / $3,508.65 / $3,726.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.67 / $2,063.67 / $2,619.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.00 / $1,966.27 / $2,398.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,875.52 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $2,117.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.06 / $3,157.79 / $4,210.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.64 / $2,157.90 / $3,993.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,906.00 / $4,608.63 / $5,844.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.30 / $2,636.79 / $4,187.51
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.30 / $2,636.79 / $4,187.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.45 / $1,750.43 / $2,605.67