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Washington, DC rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.39 / $351.39 / $351.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.39 / $351.39 / $351.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.04 / $369.45 / $450.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $318.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.51 / $428.51 / $1,308.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.26 / $328.89 / $465.93