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Maryland rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $10,964.78 / $17,378.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,791.08 / $20,892.96 / $31,622.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $14,125.38 / $14,454.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $10,715.19 / $16,218.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $17,378.01