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Maryland rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.03 / $1,182.43 / $1,902.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,276.00 / $1,276.00 / $1,626.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,172.52 / $1,606.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.24 / $2,378.91 / $3,425.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.63 / $1,225.72 / $1,881.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.41 / $1,263.41 / $1,665.24