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Maryland rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.89 / $323.27 / $527.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.04 / $368.04 / $450.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $436.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.47 / $659.24 / $949.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.95 / $345.33 / $521.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.46 / $367.46 / $461.47