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Maryland rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.75 / $1,579.75 / $2,372.52
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.00 / $1,589.00 / $2,026.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.41 / $2,050.41 / $2,050.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $1,496.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.66 / $2,963.80 / $4,267.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.05 / $1,552.54 / $2,344.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.17 / $1,728.17 / $2,074.66