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Washington, DC rates for HCPCS L3257

Orthopedic Footwear Additional Charge For Split Size (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $11.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.50 / $11.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $20.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $16.29 / $51.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $17.18 / $25.82