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Virginia rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $13.67 / $13.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $13.67 / $15.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.67 / $27.67 / $29.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $19.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $15.45 / $18.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $15.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $15.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $24.90 / $33.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $16.27 / $31.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $34.59 / $46.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.95 / $20.97 / $34.65
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.95 / $20.97 / $34.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $13.80 / $20.80