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Maryland rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.20 / $50.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $37.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $58.88 / $89.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $43.65 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $29.51 / $45.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $48.98