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Maryland rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Facilitymedian $1,413 · 10th–90th $851–$1,4450%20%40%10th90th$1,413Professionalmedian $1,000 · 10th–90th $832–$1,6600%10%10th90th$1,000$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,000.00 / $1,659.59
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,905.46 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,412.54 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $977.24 / $1,479.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,621.81