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Washington, DC rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.75 / $18.75 / $18.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.75 / $18.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.28 / $39.28 / $39.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $21.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.57 / $26.57 / $84.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.76 / $28.03 / $39.51