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Maryland rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.25 / $345.94 / $706.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $482.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $448.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $448.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.84 / $705.49 / $1,015.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.97 / $369.56 / $558.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.90 / $426.90 / $493.84