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Washington, DC rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,319.37 / $3,319.37 / $3,319.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,319.37 / $3,319.37 / $3,319.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,339.00 / $3,339.00 / $3,339.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $3,187.46 / $3,187.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,047.88 / $4,047.88 / $12,361.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.23 / $3,106.84 / $4,401.35