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Maryland rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.07 / $1,154.23 / $1,881.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.07 / $1,319.12 / $1,609.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $1,346.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.70 / $2,353.86 / $3,389.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.30 / $1,214.71 / $1,862.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.64 / $1,303.64 / $1,647.70