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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
$24.07 / $30.79 / $49.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.00 / $32.38 / $39.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $37.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $37.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.44 / $57.77 / $83.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.02 / $29.81 / $45.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.96 / $34.96 / $40.44