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Virginia rates for HCPCS L1950

Ankle-foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.48 / $436.69 / $436.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.48 / $436.69 / $503.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.21 / $883.21 / $937.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.33 / $505.33 / $659.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.00 / $474.00 / $603.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $524.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $382.77 / $524.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.25 / $794.89 / $1,059.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.27 / $543.20 / $990.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.00 / $1,104.01 / $1,471.14
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.89 / $666.56 / $1,104.01
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.89 / $666.56 / $1,104.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.12 / $440.62 / $662.03