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Washington, DC rates for HCPCS L5540

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.83 / $1,211.83 / $1,211.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.83 / $1,211.83 / $1,211.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.00 / $1,219.00 / $1,219.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,167.99 / $1,167.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.81 / $1,477.81 / $4,513.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.17 / $1,134.25 / $1,606.86