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Maryland rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.85 / $1,326.80 / $1,993.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.00 / $1,397.13 / $1,704.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,654.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,745.14 / $2,493.06 / $3,590.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.00 / $1,311.48 / $1,972.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,378.13 / $1,378.13 / $1,745.14