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Washington, DC rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.84 / $902.84 / $902.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.84 / $902.84 / $902.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.00 / $908.00 / $1,157.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $899.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.99 / $1,100.99 / $3,362.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.35 / $845.03 / $1,285.46