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Maryland rates for HCPCS L5966

Addition Endoskeletal System Hip Disarticulation Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.75 / $798.22 / $1,396.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.00 / $873.00 / $1,112.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $653.35 / $895.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.48 / $1,627.83 / $2,344.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.57 / $812.11 / $1,287.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.71 / $866.71 / $1,139.48