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Washington, DC rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.17 / $279.17 / $279.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.17 / $279.17 / $279.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.00 / $293.52 / $358.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $200.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.44 / $340.44 / $1,039.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.20 / $261.30 / $370.18