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Washington, DC rates for HCPCS L5972

All Lower Extremity Prostheses Foot Flexible Keel (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.47 / $225.47 / $225.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.47 / $225.47 / $225.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.00 / $227.00 / $289.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $214.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.95 / $274.95 / $839.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.80 / $676.80 / $676.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $211.03 / $298.95