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Washington, DC rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.18 / $114.18 / $114.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.18 / $114.18 / $114.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $127.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.33 / $181.33 / $553.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.78 / $139.18 / $209.11