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Maryland rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.62 / $804.07 / $1,489.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.00 / $913.53 / $1,114.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.60 / $1,018.60 / $1,018.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $743.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.08 / $1,630.12 / $2,347.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.29 / $853.91 / $1,289.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.40 / $986.40 / $1,141.08