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Washington, DC rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.55 / $819.55 / $819.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.55 / $819.55 / $819.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.00 / $1,074.00 / $1,368.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $860.97 / $860.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.56 / $1,301.56 / $3,974.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.99 / $998.98 / $1,500.97