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Washington, DC rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.97 / $232.97 / $232.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.97 / $232.97 / $232.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.00 / $305.00 / $305.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $272.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.99 / $369.99 / $1,129.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.32 / $283.97 / $426.67