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Maryland rates for HCPCS L5859

Addition To Lower Extremity Prosthesis Endoskeletal Knee-Shin System Powered And Programmable Flexion/Extension Assist Control Includes Any Type Motor(S)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,336.16 / $8,669.35 / $13,668.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,216.21 / $10,216.21 / $11,686.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $9,812.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,967.19 / $17,095.98 / $24,618.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,948.84 / $8,870.54 / $13,524.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,476.36 / $9,476.36 / $11,967.19