go back

Virginia rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.83 / $113.35 / $113.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.83 / $113.35 / $161.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.24 / $229.24 / $243.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.73 / $127.73 / $167.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $123.00 / $156.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $109.58 / $150.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.47 / $206.32 / $275.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.50 / $140.99 / $256.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $286.55 / $381.85
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.60 / $173.01 / $286.55
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.60 / $173.01 / $286.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.34 / $114.37 / $172.28