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Washington, DC rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.69 / $152.69 / $152.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.69 / $152.69 / $152.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $212.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.49 / $242.49 / $740.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.08 / $186.11 / $279.64