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Virginia rates for HCPCS L4210

Repair of orthotic device, repair or replace minor parts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $67.40 / $795.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.80 / $55.80 / $68.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.89 / $117.89 / $117.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $75.00 / $75.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $30.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.34 / $35.34 / $35.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $130.72 / $183.01
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $130.72 / $183.01