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Virginia rates for HCPCS L5910

Addition, endoskeletal system, below knee (BK), alignable system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.89 / $230.89 / $233.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.26 / $230.89 / $274.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.78 / $437.78 / $464.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.67 / $264.67 / $341.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $245.34 / $299.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.01 / $281.20 / $281.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.28 / $205.28 / $281.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.45 / $394.00 / $525.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.00 / $277.69 / $494.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.00 / $575.03 / $729.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.85 / $329.00 / $547.23
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.85 / $329.00 / $547.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.43 / $218.41 / $334.19