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Maryland rates for HCPCS L5250

Hip Disarticulation Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,594.21 / $3,053.70 / $5,462.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,339.00 / $3,339.00 / $4,257.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $3,187.46 / $4,366.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,359.26 / $6,227.51 / $8,967.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.20 / $3,510.02 / $4,977.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,768.32 / $3,768.32 / $4,359.26