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Washington, DC rates for HCPCS L2330

Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.59 / $198.59 / $198.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.59 / $198.59 / $265.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $260.00 / $260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $251.87 / $251.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.39 / $315.39 / $963.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.38 / $242.07 / $376.80