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Maryland rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.61 / $329.13 / $536.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $376.15 / $458.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $306.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.85 / $671.21 / $966.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.35 / $351.60 / $531.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.16 / $406.16 / $469.85