go back

Washington, DC rates for HCPCS L5685

Addition To Lower Extremity Prosthesis Below Kneesuspension/Sealing Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.44 / $80.44 / $80.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.44 / $80.44 / $80.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.25 / $84.25 / $84.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $73.02 / $73.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $98.10 / $299.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.20 / $75.29 / $106.67