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Washington, DC rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.57 / $197.57 / $197.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.57 / $197.57 / $197.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.00 / $207.72 / $253.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $175.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.94 / $240.94 / $735.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $184.93 / $261.98