go back

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
$309.03 / $380.19 / $602.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $724.44 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $537.03 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $363.08 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $602.56