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Washington, DC rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.77 / $476.77 / $476.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.77 / $476.77 / $476.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.00 / $625.00 / $796.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $535.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.19 / $757.19 / $2,312.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,657.40 / $1,657.40 / $1,657.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.44 / $581.15 / $1,087.96