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Virginia rates for HCPCS L2000

Knee Ankle Foot Orthosis Single Upright Free Knee Free Ankle Solid Stirrup Thigh And Calf Bands/Cuffs (Single Bar Ak Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.94 / $588.26 / $588.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.94 / $588.26 / $723.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.73 / $1,189.73 / $1,263.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.89 / $694.89 / $875.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.00 / $638.00 / $638.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.02 / $714.02 / $714.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.23 / $521.23 / $714.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.81 / $1,070.76 / $1,427.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.03 / $731.71 / $1,354.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.00 / $1,487.16 / $1,981.72
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.83 / $897.89 / $1,419.94
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.83 / $897.89 / $1,419.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.62 / $593.54 / $891.81