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Virginia rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.73 / $106.73 / $107.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.97 / $106.73 / $128.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.38 / $202.38 / $214.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.94 / $144.94 / $181.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.00 / $109.00 / $138.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.89 / $170.89 / $170.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $124.75 / $170.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.66 / $182.14 / $242.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.18 / $124.47 / $232.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.00 / $265.83 / $337.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.88 / $152.09 / $252.98
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.88 / $152.09 / $252.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.91 / $100.96 / $155.59