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Virginia rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.17 / $73.90 / $73.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.77 / $72.18 / $73.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.46 / $149.46 / $158.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.28 / $72.28 / $93.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $79.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $75.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.62 / $134.51 / $179.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $87.00 / $167.68
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $186.83 / $248.96
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.21 / $112.78 / $186.83
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.21 / $112.78 / $186.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.43 / $74.56 / $112.31