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Virginia rates for HCPCS L6500

Above Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.22 / $1,953.22 / $1,974.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.51 / $1,953.22 / $2,224.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,703.47 / $3,703.47 / $3,933.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.55 / $2,262.55 / $2,897.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,986.00 / $1,986.00 / $2,531.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,168.71 / $2,970.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.42 / $3,333.12 / $4,444.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.80 / $2,349.07 / $4,258.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,189.00 / $4,864.53 / $6,168.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.03 / $2,783.19 / $4,420.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.03 / $2,783.19 / $4,420.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.63 / $1,847.62 / $2,847.13