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Washington, DC rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.39 / $730.39 / $730.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.39 / $730.39 / $730.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.00 / $735.00 / $735.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $635.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.69 / $890.69 / $2,720.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.75 / $683.62 / $968.46