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Washington, DC rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.19 / $171.19 / $171.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.19 / $171.19 / $171.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.00 / $172.00 / $172.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $164.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.76 / $208.76 / $637.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.82 / $160.22 / $243.74