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Virginia rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $40 · 10th–90th $19$500%20%40%10th90th$40Professionalmedian $22 · 10th–90th $18$370%20%10th90th$22$0.1$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $46.77
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $56.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $26.30 / $39.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $26.92 / $48.98
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.88 / $50.12
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $33.11 / $114.82
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $33.11 / $114.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.50 / $32.36