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Virginia rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.07 / $89.07 / $125.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $89.07 / $102.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.14 / $180.14 / $191.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.55 / $109.55 / $143.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $123.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $116.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $85.07 / $116.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.10 / $162.13 / $216.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.02 / $110.79 / $205.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $225.18 / $300.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $135.94 / $225.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $135.94 / $225.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $89.87 / $138.41