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Washington, DC rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.66 / $867.66 / $867.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.66 / $867.66 / $867.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.00 / $873.00 / $1,112.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $653.35 / $653.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.08 / $1,058.08 / $3,231.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.40 / $812.11 / $1,150.48