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Maryland rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $316.23 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $213.80 / $331.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $354.81