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Washington, DC rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.32 / $312.32 / $312.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.32 / $312.32 / $312.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.00 / $314.00 / $400.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $276.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.86 / $380.86 / $1,163.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.88 / $292.32 / $414.12