go back

Maryland rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.95 / $44.21 / $80.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $61.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $59.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $59.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.11 / $90.16 / $129.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.59 / $47.23 / $71.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.56 / $54.56 / $63.11