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Maryland rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $104.71 / $181.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $208.93 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $91.20 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $162.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $173.78