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Maryland rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.79 / $2,110.21 / $3,668.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.23 / $2,252.23 / $2,706.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $3,001.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $2,191.15 / $3,001.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,771.29 / $3,958.99 / $5,700.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.34 / $2,130.48 / $3,131.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,472.30 / $2,472.30 / $2,771.29