go back

Washington, DC rates for HCPCS L5020

Partial Foot Molded Socket Tibial Tubercle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.82 / $1,267.82 / $1,267.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.82 / $1,267.82 / $1,267.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $1,084.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.08 / $1,546.08 / $4,721.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.10 / $1,186.65 / $1,681.09