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Maryland rates for HCPCS L1950

Ankle Foot Orthosis Spiral (Institute Of Rehabilitative Medicine Type) Plastic Custom-Fabricated. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.48 / $402.15 / $690.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.00 / $474.00 / $603.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.34 / $524.34 / $524.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.77 / $382.77 / $524.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.25 / $883.21 / $1,271.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.45 / $440.62 / $705.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.72 / $502.72 / $618.25