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Washington, DC rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $79.43 / $194.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $151.36 / $208.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $52.48 / $97.72