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Virginia rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.08 / $91.90 / $91.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $91.90 / $100.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.88 / $185.88 / $197.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.85 / $83.85 / $109.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.11 / $89.11 / $89.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $65.05 / $89.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.12 / $167.29 / $223.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $103.85 / $207.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $232.35 / $309.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.84 / $140.28 / $232.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.84 / $140.28 / $232.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $92.73 / $139.69