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Virginia rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Facilitymedian $331 · 10th–90th $170$3980%20%40%10th90th$331Professionalmedian $170 · 10th–90th $135$2880%20%40%10th90th$170$0.2$2.0$20.0$200.0$2.0K

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
$169.82 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $169.82 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $331.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $331.13 / $457.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $213.80 / $323.59
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $213.80 / $371.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $208.93 / $213.80
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $269.15 / $954.99
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $269.15 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $158.49 / $251.19