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Virginia rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,482.34 / $1,482.34 / $1,498.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.96 / $1,482.34 / $1,644.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,810.65 / $2,810.65 / $2,984.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.84 / $1,660.84 / $2,135.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.00 / $1,507.00 / $1,921.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.39 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,249.23 / $1,711.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.46 / $2,529.59 / $3,372.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.05 / $1,734.34 / $3,199.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.00 / $3,691.80 / $4,681.64
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.87 / $2,121.17 / $3,354.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.87 / $2,121.17 / $3,354.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.33 / $1,402.20 / $2,105.41