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Virginia rates for HCPCS L3999

Upper limb orthosis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $13.22 / $13.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.54 / $624.54 / $624.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $34.92 / $34.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $34.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $21.40 / $40.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.50 / $1,291.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.50 / $1,291.00 / $10,945.00