go back

Maryland rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.01 / $919.99 / $1,644.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.00 / $925.00 / $1,179.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $899.89 / $1,232.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.21 / $1,726.01 / $2,485.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.49 / $890.71 / $1,365.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.43 / $1,044.43 / $1,208.21