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Pennsylvania rates for HCPCS L6880

Electric Hand Switch Or Myoelectric Controlled Independently Articulating Digits Any Grasp Pattern Or Combination Of Grasp Patterns Includes Motor(S) (Reinstated Code Previous Description Wasterminal Device Hand Bock Vo (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,571.93 / $12,571.93 / $48,653.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,585.90 / $13,311.46 / $17,748.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,436.38 / $28,151.96 / $28,151.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,524.00 / $16,524.00 / $28,151.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,062.52 / $12,062.52 / $24,650.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,899.80 / $28,151.96 / $53,488.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,009.63 / $19,009.63 / $19,009.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,571.93 / $12,571.93 / $48,653.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,054.27 / $13,804.48 / $19,396.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.50 / $38,395.50 / $55,464.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,524.00 / $16,524.00 / $28,151.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,062.52 / $12,062.52 / $33,438.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,127.49 / $26,795.47 / $26,795.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,127.49 / $26,795.47 / $27,453.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,888.14 / $16,891.18 / $25,970.95