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Virginia rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.36 / $58.42 / $58.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.36 / $58.42 / $65.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.15 / $118.15 / $125.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.14 / $64.14 / $84.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.95 / $65.95 / $80.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $67.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.71 / $106.34 / $141.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $71.72 / $132.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $147.69 / $196.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.14 / $88.78 / $147.69
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.14 / $88.78 / $147.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $58.94 / $88.78