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Washington, DC rates for HCPCS L5828

Addition Endoskeletal Knee-Shin System Single Axis Fluid Swing And Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.17 / $1,870.17 / $1,870.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.17 / $1,870.17 / $1,870.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.00 / $1,881.00 / $2,398.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $1,546.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,280.62 / $2,280.62 / $6,964.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,166.96 / $1,750.43 / $2,479.78