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Virginia rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $14.44 / $14.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $29.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $15.65 / $20.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $18.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.63 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $16.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $24.64 / $32.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $17.36 / $31.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $35.96 / $45.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $20.58 / $34.28
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $20.58 / $34.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $13.66 / $20.36