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Washington, DC rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.59 / $14.59 / $14.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.59 / $14.59 / $14.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $18.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $11.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $17.80 / $54.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $13.66 / $19.35