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Maryland rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $69.18 / $100.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $56.23 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $75.86 / $123.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $128.82