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Maryland rates for HCPCS L6884

Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.60 / $1,313.93 / $2,492.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.89 / $1,495.89 / $1,831.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,283.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,875.69 / $2,679.56 / $3,858.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.28 / $1,382.79 / $2,119.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.42 / $1,621.42 / $1,875.69