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Washington, DC rates for HCPCS L5200

Above knee (AK), molded socket, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.57 / $2,128.57 / $2,128.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.57 / $2,128.57 / $2,128.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.00 / $2,237.94 / $2,729.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $1,991.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.73 / $2,595.73 / $7,927.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.19 / $1,992.28 / $3,405.18