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Washington, DC rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,427.59 / $2,427.59 / $2,427.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,427.59 / $2,427.59 / $2,427.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.00 / $2,442.00 / $2,442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,194.96 / $2,194.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,960.39 / $2,960.39 / $9,040.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.78 / $2,272.16 / $3,456.40