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Maryland rates for HCPCS L0160

Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.38 / $124.38 / $124.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.20 / $87.24 / $137.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $95.00 / $120.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $121.82 / $121.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $88.93 / $121.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.52 / $176.45 / $254.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $88.03 / $140.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.71 / $105.71 / $123.52