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Maryland rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.32 / $377.86 / $604.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $397.28 / $484.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $458.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $334.77 / $458.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.24 / $708.91 / $1,020.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.33 / $355.26 / $560.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.97 / $428.97 / $496.24