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Virginia rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.66 / $322.66 / $326.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.98 / $322.66 / $336.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.79 / $611.79 / $649.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.52 / $340.52 / $435.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.91 / $367.91 / $418.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $296.02 / $405.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.26 / $550.62 / $734.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.36 / $376.26 / $696.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.00 / $803.60 / $1,019.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.18 / $463.09 / $766.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.18 / $463.09 / $766.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.86 / $305.20 / $459.77