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Washington, DC rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,246.60 / $2,246.60 / $2,246.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.60 / $2,246.60 / $2,246.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,260.00 / $2,260.00 / $2,260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $2,371.77 / $2,371.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,739.67 / $2,739.67 / $8,366.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.84 / $2,102.75 / $2,978.90