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Washington, DC rates for HCPCS L5782

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,649.15 / $2,649.15 / $2,649.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.15 / $2,649.15 / $2,649.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,748.93 / $2,748.93 / $2,748.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $2,404.69 / $2,404.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,230.58 / $3,230.58 / $9,865.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.02 / $2,479.54 / $3,512.68