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Virginia rates for HCPCS L6050

Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.48 / $1,202.48 / $1,215.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.56 / $1,202.48 / $1,465.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,280.00 / $2,280.00 / $2,421.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.38 / $1,369.38 / $1,815.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.00 / $1,223.00 / $1,558.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $1,424.68 / $1,424.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,040.02 / $1,424.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.00 / $2,052.00 / $2,736.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.33 / $1,446.18 / $2,595.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.00 / $2,994.79 / $3,797.75
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.14 / $1,713.44 / $2,721.13
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.14 / $1,713.44 / $2,721.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.09 / $1,137.47 / $1,752.80