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Maryland rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.42 / $70.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $49.62 / $60.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $50.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $50.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.99 / $88.55 / $127.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.88 / $45.53 / $70.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $49.05 / $61.99