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Virginia rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.88 / $1,505.88 / $1,521.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.88 / $1,505.88 / $1,774.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,855.29 / $2,855.29 / $3,032.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.37 / $1,744.37 / $2,284.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.00 / $1,531.00 / $1,951.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.15 / $1,784.15 / $1,784.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.43 / $1,302.43 / $1,784.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.70 / $2,569.76 / $3,426.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.62 / $1,811.08 / $3,250.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.00 / $3,750.44 / $4,755.99
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.33 / $2,154.87 / $3,407.73
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.33 / $2,154.87 / $3,407.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.58 / $1,424.47 / $2,195.07