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Virginia rates for HCPCS L6624

Upper extremity addition, flexion/extension and rotation wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,340.36 / $2,340.36 / $2,365.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.21 / $2,340.36 / $2,439.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,437.52 / $4,437.52 / $4,712.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.58 / $2,731.58 / $3,414.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,379.33 / $2,486.82 / $3,033.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $2,146.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,106.26 / $3,993.77 / $5,325.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,308.09 / $2,672.76 / $4,958.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,435.21 / $5,828.71 / $7,391.48
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,431.17 / $3,473.12 / $5,830.09
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,431.17 / $3,473.12 / $5,830.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.24 / $2,213.83 / $3,176.01