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Washington, DC rates for HCPCS L1690

Combination Bilateral Lumbo-Sacral Hip Femur Orthosis Providing Adduction And Internal Rotation Control Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.73 / $930.73 / $930.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.73 / $930.73 / $930.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.51 / $1,269.51 / $1,554.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $949.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.14 / $1,478.14 / $4,514.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.33 / $1,134.50 / $2,386.34