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Washington, DC rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.82 / $87.82 / $87.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.82 / $87.82 / $87.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $88.00 / $112.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $72.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.10 / $107.10 / $327.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.80 / $82.21 / $140.50