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Maryland rates for HCPCS L5692

Addition To Lower Extremity Above Knee Pelvic Control Belt Light

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.81 / $82.42 / $146.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.00 / $88.00 / $112.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.66 / $99.66 / $99.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.75 / $72.75 / $99.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.34 / $164.77 / $237.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $85.03 / $130.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.51 / $96.51 / $115.34