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Virginia rates for HCPCS L1812

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

Facilitymedian $85 · 10th–90th $52–$1150%50%10th90th$85Professionalmedian $69 · 10th–90th $38–$1170%20%10th90th$69$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $53.70 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $53.70 / $107.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $147.91
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $91.20 / $134.90
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $69.18 / $114.82
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $74.13 / $107.15
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $147.91
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $147.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $56.23 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $56.23 / $93.33