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Washington, DC rates for HCPCS L1920

Ankle Foot Orthosis Single Upright With Static Or Adjustable Stop (Phelps Or Perlstein Type) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.19 / $161.19 / $161.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.19 / $161.19 / $161.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.00 / $211.00 / $269.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.66 / $179.66 / $179.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $256.00 / $781.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $196.49 / $295.22