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Virginia rates for HCPCS L6925

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,349.22 / $5,349.22 / $5,406.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,391.42 / $5,349.22 / $5,554.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,142.60 / $10,142.60 / $10,771.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.53 / $5,623.53 / $7,211.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,438.00 / $5,438.00 / $6,933.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,261.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $6,777.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,099.82 / $9,128.34 / $12,171.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.39 / $6,237.88 / $11,380.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,063.00 / $13,322.35 / $16,894.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,556.83 / $7,622.22 / $11,087.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,556.83 / $7,622.22 / $11,087.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,613.50 / $5,060.03 / $7,259.26