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Maryland rates for HCPCS L6650

Upper Extremity Addition Shoulder Universal Joint Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.48 / $216.55 / $361.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.00 / $218.00 / $277.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $280.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $204.89 / $280.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.38 / $406.26 / $585.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.40 / $217.23 / $321.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.84 / $245.84 / $284.38