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Maryland rates for HCPCS L6450

Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.96 / $1,972.40 / $3,262.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.00 / $1,984.00 / $2,529.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $2,717.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $1,983.86 / $2,717.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,590.32 / $3,700.45 / $5,328.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.88 / $1,909.62 / $2,927.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.17 / $2,239.17 / $2,590.32