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Virginia rates for HCPCS L1906

Ankle foot orthosis (AFO), multiligamentous ankle support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.98 / $66.98 / $72.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.45 / $66.98 / $89.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.49 / $135.49 / $143.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $82.18 / $104.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $73.00 / $92.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $86.88 / $86.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $63.42 / $90.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.84 / $121.94 / $162.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $83.33 / $155.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $169.36 / $225.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.16 / $101.82 / $165.66
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.16 / $101.82 / $165.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.09 / $67.59 / $101.82