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Washington, DC rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.83 / $231.83 / $231.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.83 / $231.83 / $231.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.00 / $233.00 / $297.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $198.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.70 / $282.70 / $863.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.66 / $216.98 / $307.39