go back

Washington, DC rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.91 / $12.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $28.84 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $10.00 / $19.05