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Washington, DC rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.69 / $1,278.69 / $1,278.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.69 / $1,278.69 / $1,278.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.00 / $1,286.00 / $1,639.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $1,314.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.33 / $1,559.33 / $4,762.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.88 / $1,196.82 / $2,045.59