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Maryland rates for HCPCS L5940

Addition Endoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.89 / $931.89 / $931.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.80 / $295.22 / $562.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.00 / $337.40 / $411.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $382.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.44 / $602.04 / $866.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.19 / $310.69 / $476.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.30 / $364.30 / $421.44