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Washington, DC rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$868.88 / $868.88 / $868.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.88 / $868.88 / $868.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.00 / $874.00 / $1,114.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $743.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.58 / $1,059.58 / $3,235.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $813.25 / $1,152.10