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Virginia rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.75 / $54.75 / $55.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.46 / $54.75 / $55.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.80 / $103.80 / $110.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.93 / $50.93 / $63.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $56.00 / $56.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $36.76 / $50.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.66 / $93.42 / $124.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $63.84 / $118.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $136.34 / $172.90
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.88 / $78.56 / $129.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.88 / $78.56 / $129.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.52 / $51.79 / $74.29