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Virginia rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.35 / $184.35 / $186.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.25 / $184.35 / $192.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.53 / $349.53 / $371.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.45 / $195.45 / $248.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.01 / $187.01 / $238.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $169.11 / $231.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.67 / $314.58 / $419.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.04 / $214.97 / $390.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.50 / $459.11 / $582.21
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.50 / $268.70 / $446.54
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.50 / $268.70 / $446.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.60 / $174.38 / $253.13