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Washington, DC rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,076.65 / $15,076.65 / $15,076.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,076.65 / $15,076.65 / $15,076.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,755.45 / $16,755.45 / $19,335.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $11,826.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,385.59 / $18,385.59 / $56,148.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,482.01 / $41,482.01 / $41,482.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,407.56 / $14,111.33 / $21,466.06