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Maryland rates for HCPCS L1850

Knee Orthosis Swedish Type Prefabricated Off- The- Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.49 / $132.85 / $199.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $184.00 / $184.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.95 / $214.95 / $214.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.91 / $156.91 / $214.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.27 / $221.81 / $332.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.26 / $170.84 / $257.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.28 / $194.27 / $194.27