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Maryland rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.68 / $1,114.84 / $2,036.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.00 / $1,219.00 / $1,554.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,599.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,167.99 / $1,599.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.49 / $2,273.55 / $3,273.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.39 / $1,156.94 / $1,798.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.53 / $1,314.53 / $1,591.49