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Washington, DC rates for HCPCS L5694

Addition To Lower Extremity Above Knee Pelvic Control Belt Padded And Lined

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.06 / $116.06 / $116.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.06 / $116.06 / $116.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $122.02 / $148.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.82 / $102.82 / $102.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.53 / $141.53 / $432.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.42 / $108.63 / $153.88