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Washington, DC rates for HCPCS L5560

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.41 / $1,243.41 / $1,243.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.41 / $1,243.41 / $1,243.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.00 / $1,307.30 / $1,594.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.86 / $1,330.86 / $1,330.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.30 / $1,516.30 / $4,630.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.86 / $1,139.51 / $1,648.70