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Washington, DC rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.25 / $2,282.25 / $2,282.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.25 / $2,282.25 / $2,282.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.00 / $2,675.00 / $2,926.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $1,787.62 / $1,787.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,783.14 / $2,783.14 / $8,499.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.08 / $2,136.13 / $3,249.46