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Virginia rates for HCPCS L6641

Upper extremity addition, excursion amplifier, pulley type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.97 / $118.97 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.71 / $118.97 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.57 / $225.57 / $239.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $117.63 / $154.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $121.00 / $154.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $126.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $203.01 / $270.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $138.72 / $253.11
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $296.29 / $375.73
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.59 / $170.24 / $281.95
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.59 / $170.24 / $281.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.71 / $112.54 / $161.44