go back

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