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Washington, DC rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.79 / $30.79 / $30.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.79 / $30.79 / $30.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $31.00 / $39.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $27.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.54 / $37.54 / $114.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $28.82 / $40.83