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Maryland rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $575.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $426.58
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
$436.52 / $630.96 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $457.09 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $489.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $524.81