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Virginia rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.19 / $194.74 / $194.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.19 / $194.74 / $265.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.85 / $393.85 / $418.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $239.88 / $312.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $211.00 / $269.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.11 / $246.11 / $246.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $246.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.70 / $354.47 / $472.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.85 / $242.22 / $441.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $492.31 / $656.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.78 / $297.25 / $492.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.78 / $297.25 / $492.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.59 / $196.49 / $302.77