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Virginia rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.71 / $370.71 / $374.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.67 / $370.71 / $440.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.90 / $702.90 / $746.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.28 / $426.28 / $550.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.89 / $391.89 / $391.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $527.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $384.89 / $527.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.03 / $632.61 / $843.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.39 / $432.30 / $785.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.35 / $923.28 / $1,170.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.11 / $529.04 / $878.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.11 / $529.04 / $878.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.82 / $350.67 / $540.37