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Washington, DC rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.74 / $634.74 / $634.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.74 / $634.74 / $634.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.00 / $832.00 / $1,060.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $655.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.07 / $1,008.07 / $3,078.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.79 / $773.71 / $1,162.49