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Washington, DC rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.22 / $67.22 / $67.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.22 / $67.22 / $67.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $86.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $72.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $81.98 / $250.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.94 / $62.92 / $95.71