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Washington, DC rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.07 / $431.07 / $431.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.07 / $431.07 / $431.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $453.22 / $552.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $474.45 / $474.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.66 / $525.66 / $1,605.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.98 / $403.46 / $571.57