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Virginia rates for HCPCS 97760

Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes

Facilitymedian $50 · 10th–90th $31–$1660%10%10th90th$50Professionalmedian $35 · 10th–90th $22–$620%10%10th90th$35$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $61.66 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $36.31 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.70 / $37.15
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $74.13 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $39.81 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $61.66
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $42.66 / $44.67
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $40.74 / $66.07
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $46.77 / $213.80
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $46.77 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $51.29 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $42.66 / $58.88