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Washington, DC rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.64 / $1,947.64 / $1,947.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.64 / $1,947.64 / $1,947.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.87 / $2,039.87 / $2,497.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $1,653.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.09 / $2,375.09 / $7,253.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.29 / $1,822.93 / $2,582.48