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Maryland rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,203.19 / $1,465.01 / $2,467.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.00 / $1,539.00 / $1,961.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,272.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.62 / $2,869.45 / $4,132.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.11 / $1,480.78 / $2,270.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.98 / $1,687.98 / $2,008.62