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Virginia rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.55 / $47.55 / $48.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.21 / $47.55 / $52.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.16 / $90.16 / $95.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.49 / $54.49 / $70.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $61.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $59.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $59.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.11 / $81.14 / $108.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $55.63 / $102.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $118.43 / $150.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.01 / $68.05 / $112.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.01 / $68.05 / $112.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.21 / $120.21 / $144.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.73 / $44.98 / $69.31