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Washington, DC rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.28 / $395.28 / $395.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.28 / $395.28 / $395.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.51 / $495.51 / $506.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $383.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $482.03 / $1,472.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.65 / $369.97 / $524.13