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Maryland rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.12 / $1,073.75 / $1,845.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.00 / $1,119.00 / $1,427.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,182.59 / $1,620.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.32 / $2,087.60 / $3,006.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.37 / $1,077.31 / $1,651.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.23 / $1,263.23 / $1,461.32