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Maryland rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,884.03 / $4,897.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,715.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $5,495.41 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,890.45 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,818.38 / $4,265.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $4,570.88