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Washington, DC rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $84.97 / $84.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.97 / $84.97 / $84.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $108.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $72.50 / $72.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.62 / $103.62 / $316.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.02 / $79.53 / $135.91