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Maryland rates for HCPCS L5200

Above Knee Molded Socket Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.86 / $2,128.57 / $3,304.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.00 / $2,237.94 / $2,729.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $2,728.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $1,991.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,795.41 / $3,993.44 / $5,750.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,867.81 / $2,134.64 / $3,159.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,399.23 / $2,399.23 / $2,795.41