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Washington, DC rates for HCPCS L3455

Heel New Leather Standard (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.60 / $19.60 / $19.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $19.60 / $19.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.15 / $25.15 / $32.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $31.12 / $95.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $23.89 / $35.89