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Washington, DC rates for HCPCS L1630

Hip Orthosis Abduction Control Of Hip Joints Semi-Flexible (Von Rosen Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.13 / $78.13 / $78.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.13 / $78.13 / $78.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $130.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.08 / $87.08 / $87.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.09 / $124.09 / $378.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.49 / $95.24 / $178.29