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Washington, DC rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.83 / $1,567.83 / $1,567.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.83 / $1,567.83 / $1,567.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.00 / $1,577.00 / $2,010.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,389.03 / $1,389.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.93 / $1,911.93 / $5,838.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.30 / $1,467.45 / $2,078.89