go back

Maryland rates for HCPCS L5979

All lower extremity prostheses, multiaxial ankle, dynamic response foot, one-piece system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.72 / $1,378.22 / $2,744.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.00 / $1,507.00 / $1,921.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $1,711.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,249.23 / $1,711.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.46 / $2,810.65 / $4,047.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.06 / $1,408.49 / $2,223.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.18 / $1,657.18 / $1,967.46