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Washington, DC rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $14.15 / $14.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.15 / $14.15 / $14.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.14 / $39.14 / $39.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $20.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $20.05 / $63.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $21.15 / $31.78