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Washington, DC rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.48 / $2,286.48 / $2,286.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,286.48 / $2,286.48 / $2,286.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.00 / $2,300.00 / $2,932.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $1,861.53 / $1,861.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,788.32 / $2,788.32 / $8,515.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,529.56 / $6,529.56 / $6,529.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.73 / $2,140.10 / $3,031.81