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Virginia rates for HCPCS L2624

Addition To Lower Extremity Pelvic Control Hip Joint Adjustable Flexion Extension Abduction Control Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.69 / $184.46 / $184.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $184.46 / $268.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.06 / $373.06 / $396.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $222.79 / $293.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $255.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.42 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $291.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.14 / $335.75 / $447.67
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $229.44 / $436.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.00 / $466.33 / $621.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.39 / $281.54 / $466.33
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.39 / $281.54 / $466.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.18 / $184.46 / $211.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.22 / $186.11 / $280.36