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Washington, DC rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.81 / $108.81 / $108.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.81 / $108.81 / $108.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.00 / $109.00 / $139.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $124.21 / $124.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.69 / $132.69 / $405.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.90 / $101.84 / $144.28