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Washington, DC rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.65 / $1,254.65 / $1,254.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.65 / $1,254.65 / $1,254.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.07 / $1,319.12 / $1,609.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $982.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.01 / $1,530.01 / $4,672.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.88 / $1,174.31 / $1,663.61