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Virginia rates for HCPCS L2005

Knee-ankle-foot orthosis (KAFO), any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated

Facilitymedian $4,898 · 10th–90th $2,239–$6,1660%20%40%10th90th$4,898Professionalmedian $2,630 · 10th–90th $1,995–$4,5710%20%10th90th$2,630$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,398.83 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,398.83 / $4,365.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,248.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $5,888.44
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,897.79 / $6,918.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,235.94 / $3,235.94
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,162.28 / $5,495.41
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,951.21 / $6,165.95
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,187.76 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,398.83 / $3,890.45