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Maryland rates for HCPCS L1710

Legg Perthes orthosis, (Newington type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.27 / $995.77 / $1,574.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.00 / $1,080.00 / $1,376.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.16 / $1,544.16 / $1,544.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.24 / $1,127.24 / $1,544.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.77 / $2,013.95 / $2,900.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.19 / $1,004.74 / $1,601.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.56 / $1,206.56 / $1,409.77