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Washington, DC rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.92 / $278.92 / $278.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.92 / $278.92 / $278.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.00 / $281.00 / $357.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $247.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.13 / $340.13 / $1,038.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.04 / $261.06 / $369.84