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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
$2,225.06 / $2,651.14 / $5,207.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,899.00 / $2,899.00 / $3,695.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $3,745.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $2,734.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,784.59 / $5,406.56 / $7,785.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,435.39 / $2,700.21 / $4,277.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,155.49 / $3,155.49 / $3,784.59