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Virginia rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Facilitymedian $692 · 10th–90th $355–$8510%20%40%10th90th$692Professionalmedian $407 · 10th–90th $316–$6610%20%10th90th$407$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $354.81 / $562.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $851.14
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $691.83 / $954.99
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $446.68 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $489.78 / $891.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $446.68 / $501.19
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $562.34 / $1,479.11
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $562.34 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $501.19 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $338.84 / $537.03