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Virginia rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $11.00 / $11.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $20.85 / $22.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $13.60 / $17.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $14.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $14.44 / $14.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $14.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.60 / $18.77 / $25.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $12.87 / $23.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $27.38 / $34.72
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $15.67 / $26.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $15.67 / $26.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $10.40 / $14.92