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Maryland rates for HCPCS L6055

Wrist Disarticulation Molded Socket With Expandable Interface Flexible Elbow Hinges Triceps Pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.57 / $1,777.13 / $2,897.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,943.00 / $1,943.00 / $2,477.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $2,476.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,536.91 / $3,624.16 / $5,218.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.34 / $1,808.05 / $2,867.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,922.87 / $1,922.87 / $2,536.91