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Washington, DC rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.69 / $444.69 / $444.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.69 / $444.69 / $444.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.00 / $447.00 / $570.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $417.71 / $417.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.29 / $542.29 / $1,656.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.48 / $416.21 / $589.64