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Washington, DC rates for HCPCS L5530

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.52 / $1,164.52 / $1,164.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.52 / $1,164.52 / $1,164.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.00 / $1,171.00 / $1,171.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.63 / $945.63 / $945.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.11 / $1,420.11 / $4,336.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.64 / $1,089.96 / $1,862.95