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Virginia rates for HCPCS A5102

Expired, Orthopedic,Los>/=14

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $19.48 / $21.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $19.48 / $23.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $16.45 / $21.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $17.82 / $21.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $18.95 / $18.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $16.11 / $22.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $31.29 / $37.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $20.99 / $35.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $41.41 / $52.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.79 / $24.69 / $42.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.79 / $24.69 / $42.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $15.73 / $24.66