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Washington, DC rates for HCPCS L5920

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.45 / $339.45 / $339.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.45 / $339.45 / $339.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.00 / $341.00 / $341.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $290.50 / $290.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.95 / $413.95 / $1,264.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.81 / $317.70 / $450.09