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Washington, DC rates for HCPCS L5160

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,443.58 / $2,443.58 / $2,443.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,443.58 / $2,443.58 / $2,443.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.00 / $2,569.15 / $3,133.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $2,679.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,979.89 / $2,979.89 / $9,100.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.75 / $2,287.12 / $3,909.13