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Washington, DC rates for HCPCS L3640

Transfer Of An Orthosis From One Shoe To Another Dennis Browne Splint (Riveton) Both Shoes (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.81 / $20.81 / $20.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $20.81 / $20.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $32.00 / $34.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $26.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $33.04 / $100.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.91 / $25.37 / $47.48