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Washington, DC rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.20 / $47.20 / $47.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.20 / $47.20 / $47.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $49.42 / $60.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $36.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $57.56 / $175.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.45 / $44.17 / $62.58