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Virginia rates for HCPCS L1980

Ankle-foot orthosis (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthosis), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.22 / $204.43 / $204.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.22 / $204.43 / $261.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.46 / $413.46 / $439.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.12 / $242.12 / $322.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.00 / $222.00 / $282.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.20 / $273.20 / $273.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.44 / $199.44 / $273.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.42 / $372.11 / $496.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.16 / $254.29 / $470.65
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.00 / $516.83 / $688.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.53 / $312.04 / $516.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.53 / $312.04 / $516.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.43 / $206.27 / $315.66