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Virginia rates for HCPCS E1815

Dynamic Adjustable Ankle Extension/Flexion Device Includes Soft Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.26 / $1,091.09 / $1,091.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.26 / $1,091.09 / $1,091.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $1,650.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.59 / $1,299.59 / $1,299.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.82 / $99.82 / $99.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $84.85 / $102.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.09 / $483.26 / $1,150.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.44 / $277.25 / $970.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.38 / $259.99 / $1,724.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.38 / $322.50 / $1,724.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $88.07 / $732.23