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Washington, DC rates for HCPCS L5971

All lower extremity prostheses, solid ankle cushion heel (SACH) foot, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.44 / $140.44 / $140.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.44 / $140.44 / $140.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.30 / $160.30 / $180.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $116.22 / $116.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.27 / $171.27 / $523.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.63 / $131.44 / $186.22