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Washington, DC rates for HCPCS L3050

Foot Arch Support Removable Premolded Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.65 / $22.65 / $22.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $22.65 / $30.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.89 / $30.89 / $30.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $23.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $35.97 / $109.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $27.61 / $41.48