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Virginia rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.20 / $1,413.20 / $1,428.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.93 / $1,413.20 / $1,609.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,679.56 / $2,679.56 / $2,845.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.41 / $1,619.41 / $2,099.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.89 / $1,495.89 / $1,831.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,283.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.69 / $2,411.60 / $3,215.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.01 / $1,647.98 / $3,006.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.56 / $3,519.61 / $4,463.27
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,468.05 / $2,059.96 / $3,423.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.05 / $2,059.96 / $3,423.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.96 / $1,336.80 / $2,059.96