go back

Maryland rates for HCPCS L5960

Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.39 / $642.53 / $1,001.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.00 / $682.75 / $832.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.44 / $930.44 / $930.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.22 / $679.22 / $930.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.81 / $1,218.30 / $1,754.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.78 / $607.79 / $963.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.16 / $700.16 / $852.81