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Maryland rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.11 / $700.72 / $1,430.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.00 / $766.00 / $800.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,036.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $756.53 / $1,036.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.30 / $1,429.00 / $2,057.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.70 / $712.91 / $1,130.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.52 / $831.52 / $1,000.30