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Virginia rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.92 / $24.06 / $24.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.92 / $24.06 / $26.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.66 / $48.66 / $51.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $26.20 / $34.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $33.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $29.64 / $29.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $29.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.06 / $43.79 / $58.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $29.92 / $55.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $60.83 / $81.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.07 / $36.72 / $60.93
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $36.72 / $60.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.27 / $24.28 / $36.56