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Virginia rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.70 / $75.75 / $75.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $75.75 / $89.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.19 / $153.19 / $162.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.59 / $84.59 / $109.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $85.53 / $104.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $99.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.24 / $137.88 / $183.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.17 / $89.66 / $171.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $191.50 / $255.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.38 / $115.97 / $191.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.38 / $115.97 / $191.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.53 / $76.43 / $115.14