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Washington, DC rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.12 / $1,498.12 / $1,498.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.12 / $1,498.12 / $1,498.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.00 / $1,507.00 / $1,921.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,249.23 / $1,249.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.92 / $1,826.92 / $5,579.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.80 / $1,402.20 / $2,133.02