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Maryland rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.45 / $768.29 / $1,124.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.00 / $773.00 / $985.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.11 / $1,200.11 / $1,200.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $876.09 / $1,200.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.97 / $1,441.39 / $2,075.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.17 / $743.83 / $1,140.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.19 / $872.19 / $1,008.97