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Washington, DC rates for HCPCS L5631

Addition To Lower Extremity Above Knee Or Knee Disarticulation Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.34 / $343.34 / $343.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.34 / $343.34 / $343.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.00 / $345.00 / $440.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $240.56 / $240.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.70 / $418.70 / $1,278.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.24 / $321.36 / $455.26