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Maryland rates for HCPCS L5614

Addition To Lower Extremity Exoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.21 / $974.97 / $1,589.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.82 / $1,392.82 / $1,392.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,317.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $961.99 / $1,317.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.80 / $1,988.29 / $2,863.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.89 / $1,045.94 / $1,572.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.18 / $1,101.18 / $1,391.80