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Virginia rates for HCPCS L2540

Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.94 / $235.50 / $235.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.94 / $235.50 / $293.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.30 / $476.30 / $505.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.64 / $289.64 / $374.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $325.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.62 / $297.62 / $297.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.26 / $217.26 / $297.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.41 / $428.67 / $571.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.41 / $292.94 / $542.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.00 / $595.38 / $793.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.95 / $359.46 / $595.38
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.95 / $359.46 / $595.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.76 / $237.62 / $357.94