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Maryland rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $107.15 / $177.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $117.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $223.87 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $91.20 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $109.65 / $173.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $186.21