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Washington, DC rates for HCPCS L3390

Outflare Wedge (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.86 / $23.86 / $23.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.86 / $23.86 / $23.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.46 / $35.46 / $39.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $32.11 / $32.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $37.89 / $115.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $29.08 / $61.16