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Virginia rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.68 / $1,638.68 / $1,656.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.97 / $1,638.68 / $1,871.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,107.08 / $3,107.08 / $3,299.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.20 / $1,898.20 / $2,437.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.00 / $1,666.00 / $2,123.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $2,479.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $1,810.27 / $2,479.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,174.96 / $2,796.37 / $3,728.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.71 / $1,970.79 / $3,536.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,747.00 / $4,081.17 / $5,175.39
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.28 / $2,344.89 / $3,708.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.28 / $2,344.89 / $3,708.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.65 / $1,550.09 / $2,388.64