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Virginia rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $45.60 / $45.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.74 / $1,142.74 / $1,405.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $45.60 / $69.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00