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Washington, DC rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.56 / $356.56 / $356.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.56 / $356.56 / $356.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.00 / $359.00 / $359.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $335.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.82 / $434.82 / $1,327.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.49 / $333.74 / $472.80