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Washington, DC rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,139.41 / $1,139.41 / $1,139.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.41 / $1,139.41 / $1,139.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.35 / $1,193.35 / $1,193.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $892.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.48 / $1,389.48 / $4,243.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,130.40 / $3,130.40 / $3,130.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.97 / $1,066.46 / $1,510.82