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Maryland rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.30 / $1,048.21 / $1,709.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.35 / $1,193.35 / $1,461.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,222.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $892.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.36 / $2,137.66 / $3,078.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.90 / $1,098.56 / $1,691.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.89 / $1,183.89 / $1,496.36