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Washington, DC rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.89 / $686.89 / $686.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.89 / $686.89 / $686.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.00 / $691.00 / $880.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $662.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.65 / $837.65 / $2,558.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.90 / $2,061.90 / $2,061.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.61 / $642.91 / $910.79