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Virginia rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,879.85 / $2,879.85 / $2,910.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,705.97 / $2,879.85 / $3,290.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,460.46 / $5,460.46 / $5,799.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,569.66 / $3,569.66 / $4,587.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,926.39 / $3,060.08 / $3,732.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $2,721.75 / $3,728.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,822.32 / $4,914.41 / $6,552.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,910.52 / $3,762.02 / $6,074.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,275.58 / $7,172.34 / $9,095.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,991.62 / $4,273.74 / $6,248.53
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,991.62 / $4,273.74 / $6,248.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,537.42 / $2,724.16 / $4,099.46