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Washington, DC rates for HCPCS L5722

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.16 / $608.16 / $608.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.16 / $608.16 / $608.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $612.00 / $779.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $638.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.64 / $741.64 / $2,264.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.48 / $569.23 / $806.40