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Washington, DC rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.74 / $217.74 / $217.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.74 / $217.74 / $217.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.00 / $219.00 / $279.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $170.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.52 / $265.52 / $810.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.87 / $203.80 / $348.34