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Virginia rates for HCPCS L4070

Replace proximal and distal upright for KAFO

Facilitymedian $324 · 10th–90th $155$4070%20%40%10th90th$324Professionalmedian $191 · 10th–90th $138$3090%20%40%10th90th$191$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
$128.82 / $154.88 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $169.82 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $398.11
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $204.17 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $457.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $213.80 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $213.80 / $407.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $190.55 / $407.38
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $263.03 / $933.25
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $263.03 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $165.96 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $158.49 / $263.03