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Maryland rates for HCPCS L5828

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.98 / $1,870.17 / $2,937.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,881.00 / $1,881.00 / $2,398.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $2,117.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $1,546.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.06 / $3,508.65 / $5,052.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.42 / $1,810.65 / $2,775.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.96 / $2,050.96 / $2,456.06