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Maryland rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.85 / $619.66 / $1,077.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.00 / $708.18 / $863.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $702.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $702.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.58 / $1,263.69 / $1,819.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.78 / $651.12 / $999.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.18 / $680.18 / $884.58