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Washington, DC rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.53 / $205.53 / $205.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.53 / $205.53 / $205.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.00 / $269.00 / $343.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $229.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.42 / $326.42 / $996.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.02 / $250.53 / $389.96