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Washington, DC rates for HCPCS L6676

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Dual Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.59 / $77.59 / $77.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $77.59 / $77.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $99.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $71.20 / $71.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.61 / $94.61 / $288.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.41 / $72.62 / $102.88