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Virginia rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $12.97 / $13.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $12.97 / $14.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.59 / $24.59 / $26.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $17.98 / $22.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $16.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.14 / $16.29 / $16.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $16.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $22.13 / $29.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $15.17 / $28.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $32.29 / $40.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.19 / $18.48 / $30.79
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.19 / $18.48 / $30.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.12 / $31.12 / $37.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $12.27 / $17.95