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Maryland rates for HCPCS L5618

Addition to lower extremity, test socket, Symes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.30 / $196.65 / $298.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.00 / $204.00 / $259.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.68 / $271.68 / $271.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.33 / $198.33 / $271.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.85 / $379.78 / $546.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.07 / $199.79 / $300.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.26 / $204.26 / $265.85