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Maryland rates for HCPCS L5826

Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.98 / $1,822.37 / $2,971.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.75 / $2,082.71 / $2,540.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.88 / $2,677.88 / $2,677.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.85 / $1,954.85 / $2,677.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.50 / $3,716.43 / $5,351.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,674.08 / $1,946.79 / $2,940.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.69 / $2,050.69 / $2,601.50