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Virginia rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.59 / $239.91 / $239.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.59 / $239.91 / $292.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.22 / $485.22 / $515.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.63 / $262.63 / $339.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $260.00 / $331.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $251.87 / $345.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.65 / $436.70 / $582.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.47 / $298.42 / $544.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.00 / $606.53 / $808.22
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.83 / $366.19 / $606.53
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.83 / $366.19 / $606.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.39 / $242.07 / $364.64