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Washington, DC rates for HCPCS L5858

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,672.26 / $11,672.26 / $11,672.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,672.26 / $11,672.26 / $11,672.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,168.77 / $13,168.77 / $14,969.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,595.08 / $10,595.08 / $10,595.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,234.03 / $14,234.03 / $43,469.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,283.28 / $10,924.91 / $15,476.96