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Maryland rates for HCPCS L2795

Addition To Lower Extremity Orthosis Knee Control Full Kneecap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $47.38 / $76.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $52.00 / $66.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $62.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $62.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.06 / $97.24 / $140.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.57 / $48.51 / $77.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.35 / $57.35 / $68.06