go back

Washington, DC rates for HCPCS L5696

Addition To Lower Extremity Above Knee Or Knee Disarticulation Pelvic Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.06 / $133.06 / $133.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $133.06 / $133.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.29 / $101.29 / $101.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.26 / $162.26 / $495.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.31 / $355.31 / $355.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $124.53 / $212.86