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Maryland rates for HCPCS L3001

Foot Insert Removable Molded To Patient Model Spenco Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.66 / $67.95 / $121.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.83 / $86.83 / $106.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $64.94 / $88.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $155.55 / $223.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.53 / $77.59 / $123.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.28 / $85.28 / $108.89