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Maryland rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $15,135.61 / $24,547.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $16,218.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,417.38 / $28,840.32 / $43,651.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $19,498.45 / $19,952.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,882.50 / $14,454.40 / $22,387.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $23,988.33