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Washington, DC rates for HCPCS L7400

Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.49 / $192.49 / $192.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.49 / $192.49 / $192.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.70 / $219.70 / $219.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $174.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.73 / $234.73 / $716.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.11 / $180.17 / $255.24