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Virginia rates for HCPCS L4045

Replace nonmolded thigh lacer, for custom fabricated orthosis only

Facilitymedian $380 · 10th–90th $182–$4680%20%40%10th90th$380Professionalmedian $219 · 10th–90th $158–$3550%20%10th90th$219$0.5$2.0$10.0$50.0$200.0$1.0K$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
$151.36 / $181.97 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $181.97 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $467.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $229.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $524.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $245.47 / $371.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $251.19 / $467.74
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $218.78 / $467.74
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $1,096.48
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $309.03 / $1,096.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $194.98 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $186.21 / $302.00