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Virginia rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.61 / $92.61 / $93.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.53 / $92.61 / $114.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.60 / $175.60 / $186.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.08 / $107.08 / $138.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $98.41 / $120.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.86 / $113.00 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $113.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.92 / $158.04 / $210.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $111.38 / $199.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.00 / $230.65 / $292.50
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $132.53 / $219.50
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $132.53 / $219.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.65 / $87.61 / $135.00