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Maryland rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $14.59 / $22.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.34 / $18.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $16.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $27.38 / $39.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $14.34 / $21.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $15.57 / $19.17