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Maryland rates for HCPCS L6689

Upper Extremity Addition Frame Type Socket Shoulder Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.46 / $426.52 / $651.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $434.00 / $552.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.92 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $474.45 / $649.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.10 / $808.72 / $1,164.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.29 / $417.34 / $639.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.36 / $489.36 / $566.10