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Washington, DC rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.23 / $190.23 / $190.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.23 / $190.23 / $190.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.00 / $191.00 / $243.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $127.58 / $127.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.97 / $231.97 / $708.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.70 / $178.05 / $304.31