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Virginia rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Facilitymedian $427 · 10th–90th $224$5370%20%40%10th90th$427Professionalmedian $251 · 10th–90th $209$4170%20%10th90th$251$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $223.87 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $562.34
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $426.58 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $281.84 / $426.58
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $549.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $251.19 / $281.84
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $1,258.93
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $316.23 / $426.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $213.80 / $331.13