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Washington, DC rates for HCPCS L4397

Static Or Dynamic Ankle Foot Orthosis Including Soft Interface Material Adjustable For Fit For Positioning May Be Used For Minimal Ambulation Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.76 / $80.76 / $80.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.76 / $80.76 / $112.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.27 / $131.27 / $134.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $92.76 / $92.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.25 / $128.25 / $391.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.63 / $98.44 / $147.91