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Washington, DC rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.52 / $350.52 / $350.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.52 / $350.52 / $350.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.00 / $353.00 / $449.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $299.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.45 / $427.45 / $1,305.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.72 / $328.08 / $499.07