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Maryland rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.80 / $2,145.76 / $3,498.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,442.92 / $2,442.92 / $2,991.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $2,502.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,063.14 / $4,375.92 / $6,301.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.16 / $2,248.86 / $3,461.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.56 / $2,423.56 / $3,063.14