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Washington, DC rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,703.23 / $2,703.23 / $2,703.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,703.23 / $2,703.23 / $2,703.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,719.00 / $2,842.14 / $3,466.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $2,612.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,296.53 / $3,296.53 / $10,067.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.77 / $2,530.16 / $3,584.39