go back

Maryland rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.85 / $1,944.75 / $3,170.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,214.05 / $2,214.05 / $2,711.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $1,666.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,776.19 / $3,965.99 / $5,711.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.49 / $2,086.32 / $3,137.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,210.58 / $2,210.58 / $2,776.19