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Maryland rates for HCPCS L5220

Above Knee Short Prosthesis No Knee Joint (Stubbies) With Articulated Ankle/Foot Dynamically Aligned Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.09 / $1,623.36 / $2,856.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.00 / $1,855.26 / $2,263.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $1,812.49 / $2,482.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,317.40 / $3,310.57 / $4,767.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.54 / $2,202.14 / $2,545.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.25 / $1,705.76 / $2,619.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,003.25 / $2,003.25 / $2,317.40