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Washington, DC rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.91 / $314.91 / $314.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.91 / $314.91 / $314.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.00 / $413.00 / $525.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $298.27 / $298.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.13 / $500.13 / $1,527.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.91 / $383.86 / $576.75