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Maryland rates for HCPCS L5722

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic Swing Friction Stance Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.19 / $559.49 / $1,011.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $639.41 / $779.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.29 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $875.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.69 / $1,140.99 / $1,643.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.66 / $576.28 / $902.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.74 / $655.74 / $798.69