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Washington, DC rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.48 / $263.48 / $263.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.48 / $263.48 / $263.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.00 / $265.00 / $337.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $181.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.31 / $321.31 / $981.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.41 / $246.61 / $349.37