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Maryland rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.27 / $2,233.30 / $3,641.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.00 / $2,442.00 / $3,113.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $3,006.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,194.96 / $3,006.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,188.11 / $4,554.43 / $6,558.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.56 / $2,317.61 / $3,603.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,523.05 / $2,523.05 / $3,188.11