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Washington, DC rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.16 / $259.16 / $259.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.16 / $259.16 / $259.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.00 / $261.00 / $261.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $227.60 / $227.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.04 / $316.04 / $965.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.71 / $242.57 / $343.64