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Washington, DC rates for HCPCS L5647

Addition to lower extremity, below knee (BK), suction socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.89 / $508.89 / $508.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.89 / $508.89 / $508.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.00 / $512.00 / $563.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $435.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.59 / $620.59 / $1,895.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.54 / $476.31 / $674.77