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Washington, DC rates for HCPCS L5643

Addition To Lower Extremity Hip Disarticulation Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.73 / $995.73 / $995.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.73 / $995.73 / $995.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.00 / $1,046.90 / $1,277.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $852.13 / $852.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.27 / $1,214.27 / $3,708.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $931.98 / $1,320.31