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Washington, DC rates for HCPCS L1755

Legg Perthes Orthotic, (Patten Bottom Type), Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$828.16 / $828.16 / $828.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.16 / $828.16 / $828.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.00 / $1,085.00 / $1,383.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,018.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.24 / $1,315.24 / $4,016.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.98 / $1,009.48 / $1,516.74