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Virginia rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.12 / $1,927.12 / $1,947.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.63 / $1,927.12 / $2,008.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,653.99 / $3,653.99 / $3,880.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,249.31 / $2,249.31 / $2,811.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.87 / $2,039.87 / $2,497.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $2,264.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,557.79 / $3,288.59 / $4,384.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.14 / $2,247.26 / $4,099.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.00 / $4,799.53 / $6,086.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.90 / $2,757.62 / $4,360.96
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.90 / $2,757.62 / $4,360.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.47 / $1,822.93 / $2,615.21