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Virginia rates for HCPCS L1831

Knee orthosis (KO), locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.66 / $171.13 / $171.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.66 / $171.13 / $202.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.12 / $346.12 / $367.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.35 / $198.35 / $247.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.55 / $210.55 / $236.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.94 / $197.94 / $197.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $144.50 / $197.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.28 / $311.51 / $415.34
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.03 / $212.86 / $388.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.00 / $432.65 / $576.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.62 / $261.98 / $433.39
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.62 / $261.98 / $433.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.12 / $172.67 / $259.43