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Washington, DC rates for HCPCS L5622

Addition To Lower Extremity Test Socket Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.63 / $271.63 / $271.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.63 / $271.63 / $271.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.50 / $284.50 / $284.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $200.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.24 / $331.24 / $1,011.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.49 / $254.24 / $360.17