go back

Maryland rates for HCPCS L5160

Knee Disarticulation (Or Through Knee) Molded Socket Bent Knee Configuration External Knee Joints Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.75 / $2,248.00 / $4,080.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.00 / $2,569.15 / $3,133.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,670.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $3,670.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,209.11 / $4,584.43 / $6,601.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.07 / $2,287.12 / $3,582.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,774.09 / $2,774.09 / $3,209.11