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Washington, DC rates for HCPCS L6692

Upper Extremity Addition Silicone Gel Insert Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.77 / $357.77 / $357.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.77 / $357.77 / $357.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $360.00 / $458.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $306.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.29 / $436.29 / $1,332.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.24 / $334.86 / $474.39