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Maryland rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.61 / $305.82 / $467.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $327.33 / $399.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $367.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.88 / $584.11 / $841.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.12 / $301.33 / $462.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.46 / $353.46 / $408.88