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Washington, DC rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $169.82 / $234.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $245.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $501.19 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $173.78 / $263.03