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Virginia rates for HCPCS L0974

Thoracic-lumbar-sacral orthosis (TLSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.70 / $99.90 / $99.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.70 / $99.90 / $120.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.06 / $202.06 / $214.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.85 / $122.85 / $159.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $108.00 / $138.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.19 / $136.19 / $136.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.43 / $99.43 / $136.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.44 / $181.85 / $242.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $124.26 / $230.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $252.58 / $336.56
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.70 / $152.47 / $252.58
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.70 / $152.47 / $252.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $100.80 / $151.84