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Virginia rates for HCPCS L6621

Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device

Facilitymedian $2,754 · 10th–90th $1,413–$3,4670%20%40%10th90th$2,754Professionalmedian $1,479 · 10th–90th $1,202–$2,5120%50%10th90th$1,479$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,445.44 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,412.54 / $2,137.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $3,090.30
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,445.44 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,778.28 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,754.23 / $3,890.45
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,819.70 / $1,819.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,995.26 / $3,235.94
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,659.59 / $1,778.28
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,344.23 / $6,025.60
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,290.87 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,862.09 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,348.96 / $2,137.96