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Virginia rates for HCPCS L1850

Knee orthosis (KO), Swedish type, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.49 / $169.32 / $169.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.49 / $169.32 / $169.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.89 / $244.89 / $260.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.68 / $197.68 / $247.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $184.00 / $184.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $214.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.27 / $205.57 / $323.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.44 / $191.33 / $380.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.00 / $347.00 / $454.67
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.76 / $244.89 / $363.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.76 / $244.89 / $363.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.41 / $170.84 / $257.36