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Virginia rates for HCPCS L1830

Knee orthosis (KO), immobilizer, canvas longitudinal, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.61 / $51.68 / $219.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.02 / $51.68 / $65.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.20 / $75.20 / $79.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.85 / $59.85 / $74.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $56.00 / $56.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.87 / $67.14 / $76.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $49.01 / $71.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.68 / $62.91 / $98.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $58.40 / $116.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $106.00 / $139.35
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.57 / $75.20 / $110.82
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.57 / $75.20 / $110.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.64 / $52.15 / $78.36