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Maryland rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.70 / $66.94 / $119.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $85.53 / $104.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $99.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $99.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.24 / $153.19 / $220.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.30 / $76.43 / $121.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.01 / $84.01 / $107.24