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Virginia rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.09 / $223.09 / $225.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.42 / $223.09 / $272.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.00 / $423.00 / $449.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.08 / $272.08 / $340.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.00 / $227.00 / $289.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.11 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $293.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.10 / $380.70 / $507.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.24 / $268.31 / $494.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $555.62 / $704.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.75 / $319.24 / $528.75
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.75 / $319.24 / $528.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $564.00 / $676.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.56 / $211.03 / $325.19