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Washington, DC rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,517.95 / $4,517.95 / $4,517.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,517.95 / $4,517.95 / $4,517.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,731.93 / $4,731.93 / $5,794.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $4,410.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,509.52 / $5,509.52 / $16,825.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,819.12 / $4,228.67 / $6,432.63