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Maryland rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,644.37 / $2,974.48 / $5,319.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,386.40 / $3,386.40 / $4,146.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $3,790.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $2,766.97 / $3,790.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,246.18 / $6,065.98 / $8,735.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.44 / $3,166.90 / $4,798.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.57 / $3,670.57 / $4,246.18