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Washington, DC rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.74 / $241.74 / $241.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.74 / $241.74 / $241.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.00 / $243.00 / $310.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $217.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.79 / $294.79 / $900.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.84 / $226.27 / $344.19