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Maryland rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,429.29 / $5,429.29 / $5,429.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.05 / $1,886.19 / $3,128.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.00 / $2,063.00 / $2,629.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $1,576.85 / $2,160.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,692.59 / $3,846.56 / $5,539.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.69 / $2,014.96 / $3,043.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.80 / $2,091.80 / $2,692.59