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Maryland rates for HCPCS L1652

Hip Orthosis Bilateral Thigh Cuffs With Adjustable Abductor Spreader Bar Adult Size Prefabricated Includes Fitting And Adjustment Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.57 / $183.16 / $327.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.02 / $234.02 / $286.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.01 / $252.01 / $252.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.97 / $183.97 / $252.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.43 / $419.18 / $603.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $209.13 / $333.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.26 / $229.86 / $293.43