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Washington, DC rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.99 / $919.99 / $919.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.99 / $919.99 / $919.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.00 / $925.00 / $1,179.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $899.89 / $899.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.91 / $1,121.91 / $3,426.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.05 / $861.09 / $1,219.88