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Washington, DC rates for HCPCS L5500

Initial, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.64 / $821.64 / $821.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.64 / $821.64 / $821.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.00 / $827.00 / $1,053.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $703.15 / $703.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.98 / $1,001.98 / $3,059.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $769.04 / $1,089.47