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Washington, DC rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.07 / $1,843.07 / $1,843.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.07 / $1,843.07 / $1,843.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.00 / $1,854.00 / $1,854.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $1,752.00 / $1,752.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,247.57 / $2,247.57 / $6,863.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.04 / $1,689.06 / $2,443.84