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Washington, DC rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.60 / $93.60 / $93.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $93.60 / $93.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $98.41 / $120.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $82.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.14 / $114.14 / $348.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $87.61 / $122.38