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Maryland rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.04 / $2,238.92 / $3,802.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.00 / $2,558.77 / $3,121.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,082.73 / $2,853.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,196.14 / $4,565.92 / $6,574.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,056.73 / $2,356.25 / $3,612.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,762.88 / $2,762.88 / $3,196.14