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Virginia rates for HCPCS L5984

All Endoskeletal Lower Extremity Prostheses Axial Rotation Unit With Or Without Adjustability (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.70 / $362.70 / $366.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.22 / $362.70 / $443.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.71 / $687.71 / $730.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.81 / $414.81 / $537.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.00 / $369.00 / $470.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.62 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $427.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.40 / $618.94 / $825.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $422.96 / $782.83
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $903.31 / $1,145.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.78 / $516.83 / $859.64
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.78 / $516.83 / $859.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.57 / $343.09 / $525.65