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Virginia rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.53 / $248.30 / $248.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.53 / $248.30 / $321.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.18 / $502.18 / $533.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.99 / $308.99 / $392.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $269.00 / $343.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $313.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $313.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.53 / $451.96 / $602.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.74 / $308.85 / $577.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.00 / $627.73 / $836.47
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.13 / $378.98 / $627.73
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.13 / $378.98 / $627.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.43 / $250.53 / $397.34