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Washington, DC rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.33 / $14.33 / $14.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.33 / $14.33 / $14.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $18.93 / $64.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $14.24 / $21.40