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Maryland rates for HCPCS L5150

Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,755.80 / $2,066.79 / $3,839.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,260.00 / $2,260.00 / $2,260.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.00 / $3,249.00 / $3,249.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.77 / $2,371.77 / $3,249.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,950.42 / $4,214.88 / $6,069.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.60 / $2,112.19 / $3,334.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,550.46 / $2,550.46 / $2,950.42