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Virginia rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.92 / $26.48 / $26.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $26.48 / $34.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.56 / $53.56 / $56.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $32.25 / $42.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $29.00 / $36.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.63 / $39.15 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $28.59 / $39.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.49 / $48.20 / $64.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $32.94 / $60.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $66.95 / $89.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $40.42 / $67.06
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $40.42 / $67.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.15 / $26.72 / $40.25