go back

Virginia rates for HCPCS L4110

Replace leather cuff KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.54 / $50.19 / $50.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.54 / $50.19 / $54.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.50 / $101.50 / $107.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $57.20 / $73.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $54.00 / $69.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $61.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $61.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.05 / $91.35 / $121.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $62.43 / $115.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $126.88 / $169.07
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.56 / $76.84 / $127.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.56 / $76.84 / $127.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $50.64 / $76.29