go back

Maryland rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.73 / $30.88 / $50.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $43.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.21 / $34.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.09 / $62.99 / $90.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.58 / $32.99 / $49.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.45 / $33.45 / $44.09