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Maryland rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.83 / $363.03 / $612.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.00 / $369.00 / $470.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $427.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.40 / $687.71 / $990.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.79 / $354.89 / $544.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.75 / $413.75 / $481.40