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Virginia rates for HCPCS L5980

All Lower Extremity Prostheses Flex Foot System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,347.01 / $2,347.01 / $2,372.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,225.71 / $2,347.01 / $2,618.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,450.14 / $4,450.14 / $4,726.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,704.43 / $2,704.43 / $3,458.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,386.00 / $2,386.00 / $3,042.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,378.78 / $2,780.72 / $2,780.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.93 / $2,029.93 / $2,780.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,115.11 / $4,005.14 / $5,340.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,433.28 / $2,736.92 / $5,065.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.00 / $5,845.29 / $7,412.51
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,438.11 / $3,344.31 / $5,311.17
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,438.11 / $3,344.31 / $5,311.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.11 / $2,220.13 / $3,421.15