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Maryland rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.11 / $1,460.11 / $1,460.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.94 / $469.59 / $765.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $513.00 / $654.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.09 / $694.09 / $694.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $694.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.36 / $957.66 / $1,379.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.38 / $501.66 / $757.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.49 / $579.49 / $670.36