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Washington, DC rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.71 / $2,433.71 / $2,433.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,433.71 / $2,433.71 / $2,433.71
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.00 / $2,448.00 / $3,121.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,082.73 / $2,082.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,967.85 / $2,967.85 / $9,063.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.59 / $2,277.89 / $3,227.01