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Washington, DC rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,931.74 / $1,931.74 / $1,931.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.74 / $1,931.74 / $1,931.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.00 / $1,943.00 / $2,477.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $1,807.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,355.69 / $2,355.69 / $7,194.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.36 / $1,808.05 / $2,561.41