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Washington, DC rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.44 / $2,332.44 / $2,332.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.44 / $2,332.44 / $2,332.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.92 / $2,442.92 / $2,442.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $1,826.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,844.35 / $2,844.35 / $8,686.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.40 / $2,183.10 / $3,092.73