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Washington, DC rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.12 / $398.12 / $398.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.12 / $398.12 / $398.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $418.57 / $510.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $387.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.49 / $485.49 / $1,482.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.42 / $372.62 / $527.88