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Washington, DC rates for HCPCS L5925

Addition Endoskeletal System Above Knee Knee Disarticulation Or Hip Disarticulation Manual Lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.96 / $214.96 / $214.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.96 / $214.96 / $214.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.00 / $216.00 / $275.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $190.44 / $190.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.14 / $262.14 / $800.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $201.20 / $285.02