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Virginia rates for HCPCS L2034

Knee-ankle-foot orthosis (KAFO), full plastic, single upright, with or without free motion knee, medial-lateral rotation control, with or without free motion ankle, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.66 / $1,184.71 / $1,184.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.66 / $1,184.71 / $1,324.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,396.07 / $2,396.07 / $2,544.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.04 / $1,327.04 / $1,716.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.67 / $1,457.67 / $1,637.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.14 / $1,618.14 / $1,618.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.24 / $1,181.24 / $1,618.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.25 / $2,156.46 / $2,875.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.36 / $1,338.72 / $2,677.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.12 / $2,995.09 / $3,991.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.74 / $1,842.03 / $3,000.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.74 / $1,842.03 / $3,000.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.10 / $1,195.36 / $1,800.66