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Washington, DC rates for HCPCS L7401

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.49 / $215.49 / $215.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.49 / $215.49 / $215.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.95 / $245.95 / $276.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $195.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.80 / $262.80 / $802.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.46 / $201.70 / $344.74