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Maryland rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $24.15 / $41.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.00 / $29.00 / $36.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.15 / $39.15 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $28.59 / $39.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.49 / $53.56 / $77.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.23 / $51.23 / $51.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.26 / $26.72 / $42.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.09 / $32.09 / $37.49