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Virginia rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $33.22 / $33.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.99 / $62.99 / $66.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $33.40 / $42.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.21 / $34.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.09 / $56.69 / $75.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $38.72 / $70.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $82.73 / $104.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $47.67 / $80.45
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.33 / $47.67 / $80.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.40 / $31.42 / $45.08