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Washington, DC rates for HCPCS L5830

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.84 / $1,328.84 / $1,328.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.84 / $1,328.84 / $1,328.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.00 / $1,397.13 / $1,704.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,207.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.49 / $1,620.49 / $4,948.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.17 / $1,243.76 / $1,761.99