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Virginia rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.36 / $126.36 / $127.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $126.36 / $127.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.60 / $239.60 / $254.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.97 / $126.97 / $167.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.00 / $128.00 / $163.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $166.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $121.52 / $166.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.72 / $215.64 / $287.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.09 / $147.35 / $272.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.00 / $314.70 / $399.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.26 / $180.81 / $299.50
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.26 / $180.81 / $299.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.03 / $119.53 / $171.48