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Washington, DC rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,579.75 / $1,579.75 / $1,579.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.75 / $1,579.75 / $1,579.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.00 / $1,589.00 / $2,026.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,496.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.47 / $1,926.47 / $5,883.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.74 / $1,478.61 / $2,249.25