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Washington, DC rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.17 / $833.17 / $833.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.17 / $833.17 / $833.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.00 / $1,092.00 / $1,391.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $880.96 / $880.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.21 / $1,323.21 / $4,040.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.06 / $1,015.58 / $1,901.23