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Virginia rates for HCPCS L2375

Addition to lower extremity, torsion control, ankle joint and half solid stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.30 / $78.88 / $78.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.30 / $78.88 / $82.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.54 / $159.54 / $169.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $76.45 / $99.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.00 / $86.00 / $109.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.21 / $104.21 / $104.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $76.06 / $104.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.68 / $143.59 / $191.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.00 / $90.00 / $178.27
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $199.43 / $265.74
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.03 / $120.40 / $199.43
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.03 / $120.40 / $199.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.66 / $79.59 / $119.58