go back

Virginia rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.57 / $2,318.57 / $2,343.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.00 / $2,318.57 / $2,443.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,396.20 / $4,396.20 / $4,668.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.48 / $2,516.48 / $3,165.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.23 / $2,454.23 / $3,005.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $2,456.42 / $3,364.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,077.34 / $3,956.58 / $5,275.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.23 / $2,703.74 / $4,977.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,368.00 / $5,774.43 / $7,322.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,408.55 / $3,317.78 / $5,246.77
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.55 / $3,317.78 / $5,246.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,982.26 / $2,193.21 / $3,146.45