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Washington, DC rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.15 / $55.15 / $55.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.15 / $55.15 / $55.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.00 / $92.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $53.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.59 / $87.59 / $267.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.82 / $67.22 / $125.85