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Virginia rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.52 / $426.52 / $431.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.86 / $426.52 / $485.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.72 / $808.72 / $858.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.79 / $491.79 / $627.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $434.00 / $552.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $474.45 / $649.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.10 / $727.85 / $970.46
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.47 / $499.03 / $920.60
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.00 / $1,062.27 / $1,347.08
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.08 / $610.34 / $1,010.90
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.08 / $610.34 / $1,010.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.02 / $403.46 / $621.73