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Maryland rates for HCPCS L5670

Addition To Lower Extremity Below Knee Molded Supracondylar Suspension (Pts Or Similar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.69 / $182.01 / $296.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.00 / $208.01 / $253.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $203.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $148.56 / $203.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.83 / $371.19 / $534.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.47 / $188.88 / $293.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.15 / $197.15 / $259.83