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Virginia rates for HCPCS L6692

Upper Extremity Addition Silicone Gel Insert Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.00 / $354.00 / $357.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.13 / $354.00 / $403.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.21 / $671.21 / $712.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.18 / $408.18 / $523.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $376.15 / $458.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $419.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.85 / $604.09 / $805.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $420.85 / $771.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.00 / $881.64 / $1,118.02
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.74 / $506.56 / $839.01
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.74 / $506.56 / $839.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $334.86 / $516.01