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Washington, DC rates for HCPCS L1900

Ankle Foot Orthosis Spring Wire Dorsiflexion Assist Calf Band Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.39 / $124.39 / $124.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $124.39 / $124.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $163.00 / $207.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.63 / $138.63 / $138.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.55 / $197.55 / $603.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.08 / $151.62 / $318.93