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Maryland rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,177.96 / $6,177.96 / $6,177.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.38 / $2,099.59 / $3,423.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,675.00 / $2,675.00 / $2,926.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $2,448.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $1,787.62 / $2,448.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,997.23 / $4,281.76 / $6,165.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,928.73 / $2,242.92 / $3,387.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.39 / $2,371.39 / $2,997.23