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Maryland rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.99 / $275.98 / $408.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.00 / $281.00 / $357.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $338.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $338.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.30 / $523.28 / $753.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.71 / $269.62 / $413.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.64 / $316.64 / $366.30