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Washington, DC rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.47 / $1,529.47 / $1,529.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.47 / $1,529.47 / $1,529.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.00 / $1,539.00 / $1,961.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,272.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.14 / $1,865.14 / $5,696.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.36 / $1,431.54 / $2,177.65