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Maryland rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.42 / $2,852.04 / $4,572.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,926.39 / $3,060.08 / $3,732.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $3,728.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $2,721.75 / $3,728.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,822.32 / $5,460.46 / $7,863.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,562.50 / $2,869.62 / $4,319.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,053.28 / $3,053.28 / $3,822.32