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Washington, DC rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.14 / $291.14 / $291.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.14 / $291.14 / $291.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.94 / $304.94 / $304.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $264.27 / $264.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.05 / $355.05 / $1,084.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.67 / $272.51 / $414.54