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Washington, DC rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.04 / $376.04 / $376.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.04 / $376.04 / $376.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $482.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $327.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.57 / $458.57 / $1,400.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.64 / $351.96 / $498.61