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Maryland rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.25 / $2,155.69 / $3,854.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.23 / $2,463.66 / $3,005.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $2,456.42 / $3,364.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,077.34 / $4,396.20 / $6,330.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.28 / $2,302.88 / $3,477.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,461.64 / $2,461.64 / $3,077.34