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Virginia rates for HCPCS L5950

Addition, endoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.41 / $536.41 / $542.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.35 / $536.41 / $588.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.08 / $1,017.08 / $1,080.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.70 / $566.70 / $721.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.00 / $545.00 / $545.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.66 / $583.49 / $583.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $425.95 / $583.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.96 / $915.37 / $1,220.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $645.12 / $1,141.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.00 / $1,335.94 / $1,694.12
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.24 / $764.34 / $1,271.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.24 / $764.34 / $1,271.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.86 / $507.41 / $727.94