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Washington, DC rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $47.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $112.20 / $154.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.90 / $58.88