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Washington, DC rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.49 / $104.49 / $104.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.49 / $104.49 / $104.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $184.00 / $184.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $156.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.18 / $144.18 / $437.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.90 / $170.84 / $231.41