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Washington, DC rates for HCPCS L3650

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Prefabricated Off-The-Shelf(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.66 / $30.66 / $30.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.66 / $30.66 / $39.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $51.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.09 / $34.09 / $34.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $48.69 / $148.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.62 / $104.62 / $104.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.92 / $33.74 / $56.15