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Washington, DC rates for HCPCS L5670

Addition to lower extremity, below knee (BK), molded supracondylar suspension (PTS or similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.85 / $197.85 / $197.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.85 / $197.85 / $197.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.00 / $199.00 / $253.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $148.56 / $148.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.27 / $241.27 / $736.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.45 / $185.18 / $238.22