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Washington, DC rates for HCPCS L5976

All Lower Extremity Prostheses Energy Storing Foot (Seattle Carbon Copy Ii Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.28 / $358.28 / $358.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.28 / $358.28 / $358.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $360.00 / $459.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $306.61 / $306.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.91 / $436.91 / $1,334.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.56 / $335.33 / $475.06