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Virginia rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.26 / $9.98 / $9.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $9.98 / $11.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.18 / $20.18 / $21.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $11.78 / $14.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.85 / $12.85 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.16 / $24.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $12.41 / $22.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $25.23 / $33.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.64 / $15.28 / $25.79
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.64 / $15.28 / $25.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.94 / $9.11 / $9.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $10.07 / $15.13