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Washington, DC rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.06 / $160.06 / $160.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.06 / $160.06 / $160.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.00 / $168.28 / $205.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $124.57 / $124.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.19 / $195.19 / $596.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $149.81 / $212.23