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Washington, DC rates for HCPCS L4090

Replace Metal Bands Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $42.00 / $42.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $42.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $70.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $48.71 / $48.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $203.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $47.71 / $95.84