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Virginia rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.86 / $54.86 / $104.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.02 / $54.86 / $69.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.45 / $83.45 / $88.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.04 / $71.04 / $88.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.39 / $73.81 / $73.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $62.03 / $87.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $68.04 / $106.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $61.88 / $114.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.40 / $117.00 / $152.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.70 / $86.84 / $115.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.70 / $86.84 / $115.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.56 / $55.35 / $86.84