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Maryland rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.00 / $1,791.75 / $2,921.46
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.87 / $2,039.87 / $2,497.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $2,264.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,557.79 / $3,653.99 / $5,261.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.94 / $1,885.64 / $2,890.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,023.71 / $2,023.71 / $2,557.79