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Washington, DC rates for HCPCS L5822

Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.92 / $1,191.92 / $1,191.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.92 / $1,191.92 / $1,191.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.00 / $1,199.00 / $1,528.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.51 / $998.51 / $998.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.52 / $1,453.52 / $4,438.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.74 / $1,115.59 / $1,906.78