go back

Washington, DC rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.22 / $158.22 / $158.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.22 / $158.22 / $158.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $207.00 / $264.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $157.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.28 / $251.28 / $767.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.58 / $192.86 / $289.77