go back

Virginia rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.30 / $65.59 / $65.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.30 / $65.59 / $92.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.68 / $132.68 / $140.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.14 / $79.14 / $104.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.00 / $71.00 / $90.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.22 / $106.22 / $106.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.54 / $77.54 / $106.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.88 / $119.41 / $159.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.73 / $81.59 / $151.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $165.85 / $220.99
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $100.13 / $165.85
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.53 / $100.13 / $165.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.87 / $65.59 / $75.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.82 / $66.19 / $105.50