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Washington, DC rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,112.44 / $9,112.44 / $9,112.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,112.44 / $9,112.44 / $9,112.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,216.21 / $10,216.21 / $10,216.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $8,340.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,112.39 / $11,112.39 / $33,936.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,686.00 / $8,528.99 / $12,169.09