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Washington, DC rates for HCPCS L6695

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism

Facilitymedian $372 · 10th–90th $372$1,0960%50%90th$372Professionalmedian $372 · 10th–90th $263$6460%20%10th90th$372$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$645.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$549.54