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Washington, DC rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.75 / $1,030.75 / $1,030.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.75 / $1,030.75 / $1,030.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.00 / $1,037.00 / $1,321.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $895.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.97 / $1,256.97 / $3,838.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $964.75 / $1,366.73