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Washington, DC rates for HCPCS L5656

Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.05 / $253.05 / $253.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.05 / $253.05 / $253.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $255.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $245.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.58 / $308.58 / $942.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.90 / $236.85 / $360.30