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Washington, DC rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.22 / $318.22 / $318.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.22 / $318.22 / $318.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.29 / $333.29 / $408.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $277.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.06 / $388.06 / $1,185.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.56 / $290.27 / $421.95