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Washington, DC rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,570.56 / $1,570.56 / $1,570.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.56 / $1,570.56 / $1,570.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.93 / $1,771.93 / $2,014.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,425.62 / $1,425.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.26 / $1,915.26 / $5,849.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.00 / $1,470.01 / $2,082.51