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Washington, DC rates for HCPCS L8642

Hallux Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.10 / $209.10 / $209.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.10 / $209.10 / $209.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.12 / $262.12 / $268.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $257.41 / $257.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $778.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.47 / $195.71 / $297.72