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Maryland rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.31 / $1,886.41 / $2,974.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,306.15 / $2,306.15 / $2,542.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $2,381.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,603.98 / $3,719.97 / $5,356.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.89 / $1,919.69 / $2,942.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.73 / $2,052.73 / $3,053.24