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Virginia rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.41 / $201.03 / $201.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.41 / $201.03 / $201.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.59 / $406.59 / $431.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.57 / $205.57 / $270.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.00 / $218.00 / $277.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.34 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $218.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.61 / $365.93 / $487.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $247.28 / $456.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.00 / $508.24 / $677.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.76 / $306.85 / $508.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.76 / $306.85 / $508.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.63 / $202.84 / $304.77