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Maryland rates for HCPCS L5634

Addition to lower extremity, Symes type, posterior opening (Canadian) socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.09 / $194.61 / $306.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.00 / $196.00 / $249.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.64 / $274.64 / $274.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $200.49 / $274.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.57 / $365.10 / $525.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.77 / $182.34 / $288.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.97 / $220.97 / $255.57