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Washington, DC rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.89 / $320.89 / $320.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.89 / $320.89 / $320.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.00 / $323.00 / $355.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $278.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.33 / $391.33 / $1,195.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $300.36 / $425.51