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Maryland rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.82 / $67.22 / $112.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $68.00 / $86.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $72.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.28 / $126.12 / $181.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.13 / $93.69 / $96.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $65.08 / $99.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.76 / $75.76 / $88.28