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Maryland rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.17 / $926.92 / $1,591.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.00 / $1,092.00 / $1,391.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,206.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $880.96 / $1,206.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.99 / $2,035.70 / $2,931.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.85 / $1,015.58 / $1,618.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.05 / $1,157.05 / $1,424.99