go back

Washington, DC rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,233.27 / $3,233.27 / $3,233.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,233.27 / $3,233.27 / $3,233.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,386.40 / $3,399.41 / $4,146.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $2,766.97 / $2,766.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,942.89 / $3,942.89 / $12,041.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.50 / $3,026.25 / $4,287.18