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Virginia rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.65 / $57.56 / $57.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.10 / $57.56 / $60.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.42 / $116.42 / $123.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.90 / $58.90 / $75.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $62.00 / $79.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $73.27 / $73.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $73.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.48 / $104.78 / $139.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.30 / $70.00 / $130.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $145.53 / $193.92
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.16 / $87.87 / $145.53
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.16 / $87.87 / $145.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.02 / $58.08 / $87.49