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Maryland rates for HCPCS L5430

Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension, above knee (AK) or knee disarticulation, each additional cast change and realignment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.19 / $394.89 / $611.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.00 / $432.00 / $550.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.13 / $427.13 / $427.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.80 / $311.80 / $427.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.72 / $805.31 / $1,159.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.32 / $415.58 / $637.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.47 / $365.47 / $563.72