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Virginia rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $30.62 / $30.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $30.62 / $48.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $93.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $149.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $52.00 / $52.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $30.62 / $34.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $135.00 / $135.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.25 / $35.00 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.25 / $35.00 / $4,071.00