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Washington, DC rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $177.83 / $323.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $478.63 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $251.19