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Maryland rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,545.91 / $4,545.91 / $4,545.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.27 / $1,468.88 / $2,454.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.46 / $1,538.46 / $1,883.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $1,721.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,257.05 / $1,721.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.05 / $2,755.79 / $3,968.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.34 / $1,553.25 / $2,180.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.55 / $1,667.55 / $1,972.92