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Maryland rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.56 / $1,695.55 / $3,080.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.00 / $1,854.00 / $2,363.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $1,752.00 / $2,400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,420.46 / $3,457.80 / $4,979.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.58 / $1,732.81 / $2,735.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.94 / $1,988.94 / $2,420.46