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Washington, DC rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.01 / $672.01 / $672.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.01 / $672.01 / $672.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.00 / $676.00 / $676.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $699.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.50 / $819.50 / $2,502.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.32 / $628.98 / $891.06