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Washington, DC rates for HCPCS L5628

Addition To Lower Extremity Test Socket Hemipelvectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.03 / $345.03 / $345.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.00 / $347.00 / $347.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $364.87 / $364.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.75 / $420.75 / $1,284.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.29 / $322.94 / $457.50