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Maryland rates for HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.02 / $72.52 / $114.64
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $100.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.60 / $102.60 / $102.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.90 / $74.90 / $102.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.66 / $146.66 / $211.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.06 / $73.17 / $116.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.65 / $84.65 / $102.66