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Virginia rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.02 / $76.02 / $76.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.80 / $76.02 / $82.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.13 / $144.13 / $153.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $87.33 / $109.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $77.00 / $98.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.05 / $90.07 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $90.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.90 / $129.72 / $172.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.42 / $91.43 / $164.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $189.34 / $240.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $108.32 / $180.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $108.32 / $180.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $71.91 / $110.81