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Virginia rates for HCPCS L0160

Cervical Semi-Rigid Wire Frame Occipital/ Mandibular Support Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.20 / $87.24 / $87.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $87.24 / $107.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.45 / $176.45 / $187.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.98 / $105.98 / $139.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $95.00 / $120.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $121.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $88.93 / $121.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.52 / $158.81 / $211.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.83 / $108.52 / $202.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.00 / $220.56 / $293.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $133.16 / $220.56
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $133.16 / $220.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $88.03 / $132.60