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Washington, DC rates for HCPCS L5677

Additions To Lower Extremity Below Knee Knee Joints Polycentric Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.43 / $315.43 / $315.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.43 / $315.43 / $315.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.00 / $317.00 / $317.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $292.57 / $292.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.66 / $384.66 / $1,174.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $295.24 / $418.25