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Washington, DC rates for HCPCS L2768

Orthotic Side Bar Disconnect Device, Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.70 / $62.70 / $62.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $62.70 / $62.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $85.53 / $104.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $72.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.58 / $99.58 / $304.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.96 / $76.43 / $114.84