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Virginia rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.39 / $46.37 / $46.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.39 / $46.37 / $57.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.80 / $93.80 / $99.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.58 / $52.58 / $69.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $64.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $48.75 / $66.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.66 / $84.42 / $112.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $57.67 / $106.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $117.25 / $156.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.10 / $70.78 / $117.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.10 / $70.78 / $117.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.18 / $117.18 / $140.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $46.79 / $70.47