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Washington, DC rates for HCPCS L3221

Orthopedic Footwear Mens Shoe Depth Inlay Each Covered By Medicare. Statute Reference: 1862a8)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.99 / $45.99 / $45.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.99 / $45.99 / $45.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $50.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $65.16 / $206.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.10 / $68.73 / $110.85