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Maryland rates for HCPCS L6586

Preparatory, elbow disarticulation or above elbow, single wall socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, USMC or equal pylon, no cover, direct formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.28 / $1,192.65 / $1,984.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.00 / $1,255.00 / $1,600.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.16 / $1,747.16 / $1,747.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.43 / $1,275.43 / $1,747.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.53 / $2,340.76 / $3,370.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.82 / $1,231.35 / $1,851.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.89 / $1,367.89 / $1,638.53