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Maryland rates for HCPCS L5642

Addition To Lower Extremity Above Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.77 / $386.19 / $594.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $418.57 / $510.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $387.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.84 / $746.91 / $1,075.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.34 / $385.44 / $590.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.98 / $449.98 / $522.84