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Virginia rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.68 / $14.68 / $14.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $14.68 / $14.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.84 / $27.84 / $29.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.47 / $15.47 / $19.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $19.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.88 / $16.62 / $16.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $12.13 / $16.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $25.06 / $33.40
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $17.32 / $31.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $36.57 / $46.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $20.92 / $34.86
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $20.92 / $34.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $13.89 / $19.92