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Washington, DC rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.79 / $1,059.79 / $1,059.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.79 / $1,059.79 / $1,059.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.82 / $1,392.82 / $1,392.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $961.99 / $961.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.39 / $1,292.39 / $3,946.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.29 / $991.94 / $1,405.25